Resumen

This 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.

Palabras clave: Vertebral bifurcation stent fracture technique.

2016-05-03   |   401 visitas   |   Evalua este artículo 0 valoraciones

Vol. 151 Núm.5. Septiembre-Octubre 2015 Pags. 655-659 Gac Méd Méx 2015; 151(5)