AJDRAJNR - American Journal of Neuroradiology

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Technical Note
INTERVENTIONAL

Use of a Pressure-Sensing Wire to Detect Sequential Pressure Gradients for Ipsilateral Vertebral and Subclavian Artery Stenoses

Chung-Pin Liua, Yen-Hung Linga and Hsien-Li Kaoa

a From the Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital

Address reprint requests to Hsien-Li Kao, Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital

Summary: Endoluminal stent placement is safe and effective in the treatment of symptomatic ostial stenoses of the vertebral artery (VA) and proximal subclavian artery (SCA). However, determining the relative importance of an individual lesion on angiography is difficult when VA and SCA stenoses are concurrent. Pressure-sensing wires help in determining the functional significance of coronary artery stenosis. We present a case of ipsilateral VA and SCA stenoses in which a pressure-sensing wire was used in making interventional decisions.