Symptomatic Wingspan stent stenosis and occlusion: stent-in-stent rescue
- 1University of Virginia School of Medicine, Charlottesville, Virginia, USA
- 2Department of Radiology, University of Virginia Health System, Charlottesville, Virginia, USA
- Correspondence to Dr J R Gaughen, Jr, Department of Radiology, Box 800170, Charlottesville, VA 22908, USA;
- Received 3 December 2009
- Accepted 29 March 2010
- Published Online First 4 June 2010
The use of the Wingspan stent in severe intracranial stenosis is associated with a relatively high in-stent re-stenosis rate. Reported management strategies for re-stenosis have included angioplasty alone or angioplasty with placement of a second Wingspan stent. A case is presented in which thrombosis within a Wingspan stent was treated with a balloon expandable cobalt-chromium stent within the Wingspan stent. Subsequent follow-up imaging has shown persistent patency of the treated vessel, with no subsequent in-stent stenosis.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.