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Case report
Symptomatic Wingspan stent stenosis and occlusion: stent-in-stent rescue
  1. Tri M Le1,
  2. John R Gaughen2,
  3. Mary E Jensen2,
  4. Avery J Evans2
  1. 1University of Virginia School of Medicine, Charlottesville, Virginia, USA
  2. 2Department of Radiology, University of Virginia Health System, Charlottesville, Virginia, USA
  1. Correspondence to Dr J R Gaughen, Jr, Department of Radiology, Box 800170, Charlottesville, VA 22908, USA; jrg4{at}


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.

  • Artery
  • Stenosis
  • Complication
  • Stent

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  • Competing interests None.

  • Patient consent Obtained.

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