AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on March 27, 2008
doi: 10.3174/ajnr.A1006

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Case Report
INTERVENTIONAL

Recurrent Intracranial Stenosis Induced by the Wingspan Stent: Comparison with Balloon Angioplasty Alone in a Single Patient

K.F. Laytona, J.H. Hisea and I.C. Thackera

a From the Department of Radiology, Baylor University Medical Center, Dallas, Tex

Please address correspondence to Kennith F. Layton, Department of Radiology, Baylor University Medical Center, 3500 Gaston Ave, Dallas, TX 75246; e-mail: klayton{at}americanrad.com

SUMMARY: We present a case in which angioplasty alone and stent-assisted angioplasty were performed in the same patient to treat medically refractory intracranial stenoses. This elderly patient with presumed intracranial atherosclerotic disease underwent angioplasty alone for his anterior cerebral artery stenosis. Stent-assisted angioplasty was used for treatment of his ipsilateral middle cerebral artery stenosis. Follow-up angiography at 4 months documented severe recurrent stenosis confined only to the stented portion of the middle cerebral artery.




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