title: Use of a wire extender during neuroprotected vertebral artery angioplasty and stenting.
abstract: BACKGROUND
  The off-label use of an extender wire during vertebral artery stenting and angioplasty with or with neuroprotection has not been previously reported.
  
  
  METHODS
  Retrospective, single-patient, technical report.
  
  
  RESULTS
  After monorail balloon angioplasty was performed on a proximal left vertebral artery stenosis, the 190 cm long Accunet neuroprotection filter device was not long enough for delivery of an over-the-wire stent. After mating a 145 cm long, 0.014 inch extension wire to the filter device, a balloon-mounted Liberté stent was implanted with good angiographic and clinical results.
  
  
  CONCLUSIONS
  The off-label use of an extender wire permits successful over-the-wire stenting on a monorail neuroprotection device for vertebral artery endosurgery.
authors: Department of Radiology, Texas A&M University Health Science Center College of Medicine, Scott & White Clinic, Temple, Texas 76508, USA. wlesley@swmail.sw.org
authors: Walter S
authors: WS
authors: Lesley
authors: Ravi
authors: R
authors: Kumar
authors: Rajesh
authors: R
authors: Rangaswamy
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D057505:Embolic Protection Devices; D006801:Humans; D015607:Stents; D014711:Vertebral Artery / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000628:therapy