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Use of a wire extender during neuroprotected vertebral artery angioplasty and stenting
  1. Walter S Lesley1,2,3,4,
  2. Ravi Kumar1,4,
  3. Rajesh Rangaswamy1,3,4
  1. 1Department of Radiology, Texas A&M University Health Science Center College of Medicine, Scott & White Clinic, Temple, Texas, USA
  2. 2Department of Surgery, Texas A&M University Health Science Center College of Medicine, Scott & White Clinic, Temple, Texas, USA
  3. 3Department of Neurosurgery, Texas A&M University Health Science Center College of Medicine, Scott & White Clinic, Temple, Texas, USA
  4. 4Division of Neuroradiology, Section of NeuroInterventional Surgery, Texas A&M University Health Science Center College of Medicine, Scott & White Clinic, Temple, Texas, USA
  1. Correspondence to Walter S Lesley, Scott & White Clinic, Departments of Radiology, Surgery and Neurosurgery, Division of Neuroradiology, Section of NeuroInterventional Surgery, 2401 South 31st Street, Temple, TX 76508, USA; wlesley{at}swmail.sw.org

Abstract

Background The off-label use of an extender wire during vertebral artery stenting and angioplasty with or with neuroprotection has not been previously reported.

Material and Methods Retrospective, single-patient, technical report.

Results After monorail balloon angioplasty was performed on a proximal left vertebral artery stenosis, the 190 cm long Accunet neuroprotection filter device was not long enough for delivery of an over-the-wire stent. After mating a 145 cm long, 0.014 inch extension wire to the filter device, a balloon-mounted Liberté stent was implanted with good angiographic and clinical results.

Conclusion The off-label use of an extender wire permits successful over-the-wire stenting on a monorail neuroprotection device for vertebral artery endosurgery.

  • Angioplasty
  • device
  • stenosis
  • technique
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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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