• Gac Med Mex · Sep 2015

    Case Reports

    [Vertebral-subclavian bifurcation treatment. "The wedding ring technique" for a vertebral in-stent restenosis associated with stent fracture].

    • Damas-De Los SantosFélixFInterventional Cardiology Department, Instituto Nacional de Cardiología Ignacio Chavez, Mexico City, Mexico., Federico Colombo, Andrea Zuffi, and Alberto Cremonesi.
    • Interventional Cardiology Department, Instituto Nacional de Cardiología Ignacio Chavez, Mexico City, Mexico.
    • Gac Med Mex. 2015 Sep 1; 151 (5): 655-9.

    AbstractThis report describes a solution for a restenosis and for the fracture of a stent in the vertebral artery in a patient suffering from vertebrobasilar symptoms. Angiography demonstrates restenosis of a vertebral stent as well as its fracture and migration into the subclavian artery. This complication was managed percutaneously by passing a guide wire through the fractured stent. Pre-dilatation and kissing balloon techniques were applied in both the vertebral and subclavian arteries to modify the stent's dimensions and shape it into the form of a "ring." Postprocedural angiography demonstrated an excellent final result with the assistance of StentBoost visualization. Control angiography at six months also utilized StentBoost imaging and confirmed the patency of the bifurcation and that the stent was not displaced.

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