The use of flat panel angioCT (DynaCT) for navigation through a deformed and fractured carotid stent.
Navigation through a previously deployed and deformed stent is a difficult interventional task. Inadvertent navigation through the struts of a stent can potentially lead to incomplete secondary stent extension and vessel occlusion. Better visualisation of the pathway through the stent can reduce the risks of the procedural complications and reduce the reluctance of the interventionalist to navigate through a previously deployed stent. We describe a technique of visualisation of the pathway navigated by a guidewire through a previously deployed deformed and fractured carotid stent by the use of DynaCT. Three-dimensional reconstruction of the stent/microwire allows excellent visualisation of the correct pathway of the microwire within the stent.
Mordasini
Pasquale
P
Institute of Diagnostic and Interventional Neuroradiology, University Hospital Inselspital, Berne, Switzerland.
Al-Senani
Fahmi
F
Gralla
Jan
J
Do
Dai-Do
DD
Brekenfeld
Caspar
C
Schroth
Gerhard
G
D000368:Aged; D002339:Carotid Arteries / Q000000981:diagnostic imaging* / Q000601:surgery*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography / Q000295:instrumentation / Q000379:methods*; D016894:Endarterectomy, Carotid / Q000379:methods; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D018810:Magnetic Resonance Angiography; D008297:Male; D011475:Prosthesis Failure; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome