PT  - JOURNAL ARTICLE
AU  - Curtis Alden Given II
AU  - Christian Norman Ramsey III
AU  - Guilherme Ferragut Attizzani
AU  - Michael R Jones
AU  - William H Brooks
AU  - Hiram G Bezerra
AU  - Marco A Costa
TI  - Optical coherence tomography of the intracranial vasculature and Wingspan stent in a patient
AID  - 10.1136/neurintsurg-2014-011114.rep
DP  - 2015 Jun 01
TA  - Journal of NeuroInterventional Surgery
PG  - e22--e22
VI  - 7
IP  - 6
4099  - http://jnis.bmj.com/content/7/6/e22.short
4100  - http://jnis.bmj.com/content/7/6/e22.full
SO  - J NeuroIntervent Surg2015 Jun 01; 7
AB  - A 67-year-old man with medically refractory vertebrobasilar insufficiency and short segment occlusions of the intracranial vertebral arteries was treated with angioplasty and stent placement. Fifteen hours after the procedure the patient developed symptoms of posterior fossa ischemia and repeat angiography showed thrombus formation within the stent which was treated with thrombolytic and aggressive antiplatelet therapy. Angiography revealed lysis of the clot, but concerns regarding the mechanism of the thrombotic phenomenon prompted frequency-domain optical coherence tomography (FDOCT) assessment. FDOCT provided excellent visualization of the stent and vessel wall interactions, as well as excluding residual flow-limiting stenosis, obviating the need for further intervention. The potential utility of FDOCT in the evaluation of intracranial atherosclerotic disease and additional intracranial applications are discussed.