Optical Coherence Tomography of the Intracranial Vasculature and Wingspan Stent in a Patient

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2014 May 20

PMID 24835808

Citations 7

Authors

Curtis Alden Given 2nd

Christian Norman Ramsey 3rd

Guilherme Ferragut Attizzani

Michael R Jones

William H Brooks

Hiram G Bezerra

Marco A Costa

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Multimodal imaging approach for the diagnosis of intracranial atherosclerotic disease (ICAD): Basic principles, current and future perspectives.

Charles J, Desai S, Jean Paul A, Hassan A Interv Neuroradiol. 2022; 30(1):105-119.

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Percutaneous transluminal angioplasty and stenting for vertebral artery stenosis.

Xu R, Zhang X, Liu S, Wang X, Wang W, Yang K Cochrane Database Syst Rev. 2022; 5:CD013692.

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Frequency-Domain Optical Coherence Tomography for Intracranial Atherosclerotic Stenosis: Feasibility, Safety, and Preliminary Experience.

Yang B, Feng Y, Ma Y, Wang Y, Chen J, Li L Front Neurol. 2021; 12:678443.

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Perspective review on applications of optics in cerebral endovascular neurosurgery.

Pasarikovski C, Cardinell J, Yang V J Biomed Opt. 2019; 24(3):1-7.

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Optical Coherence Tomography of Spontaneous Basilar Artery Dissection in a Patient With Acute Ischemic Stroke.

Gao P, Gui L, Yang B, Krings T, Jiao L Front Neurol. 2018; 9:858.

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