Endovascular reconstruction of internal carotid artery dissection in patients with acute ischemic stroke using the Wingspan stent

Eduardo Murías, P. Vega Valdés, Edison Morales Deza, Alberto Gil García, Hugo Cuellar Saenz, Alba Lucía Salgado Bernal, María Cadenas Rodríguez, Lorena Benavente, Montserrat G. Delgado, Nuria Riesco Pérez,

Interventional Neuroradiology · 2016 · 10 citations · 8 references

Concepts

Abstract

OBJECTIVE: The purpose of this study is to demonstrate our experience in endovascular reconstruction of carotid dissections using the Wingspan Stent System™ (Boston Scientific, Natick, MA, USA), a device we use because of its high radial force and its navigation in extreme curves. METHODS: We treated 11 consecutive patients with acute ischemic stroke due to carotid dissection with the Wingspan stent, in the cervical carotid artery. RESULTS: Functional evaluation revealed that 10 of the 11 patients were independent at 3 months post surgery and that the 11 stents used were found to be patent at the 6-month follow-up digital subtraction angiography (DSA). CONCLUSIONS: The Wingspan stent is an alternative to classic carotid stents and flow diverters for the treatment of cervical internal carotid artery (ICA) dissection associated with ectasias or large loops. The device remains patent over the long term and it is not associated with arterial wall complications.

References

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