title: [Vertebral-subclavian bifurcation treatment. "The wedding ring technique" for a vertebral in-stent restenosis associated with stent fracture].
abstract: This report describes a solution for a restenosis and for the fracture of a stent in the vertebral artery in a patient suffering from vertebrobasilar symptoms. Angiography demonstrates restenosis of a vertebral stent as well as its fracture and migration into the subclavian artery. This complication was managed percutaneously by passing a guide wire through the fractured stent. Pre-dilatation and kissing balloon techniques were applied in both the vertebral and subclavian arteries to modify the stent's dimensions and shape it into the form of a "ring." Postprocedural angiography demonstrated an excellent final result with the assistance of StentBoost visualization. Control angiography at six months also utilized StentBoost imaging and confirmed the patency of the bifurcation and that the stent was not displaced.
authors.affiliation: Interventional Cardiology Department, Instituto Nacional de Cardiología Ignacio Chavez, Mexico City, Mexico.
authors.forename: Félix
authors.initials: F
authors.lastname: Damas-De Los Santos
authors.affiliation: Interventional Cardiology Department, Ospedale Maggiore di Milano, Milan, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Colombo
authors.affiliation: Interventional Cardiology Department, Centre Hospitalier Universitaire Vaudois CHUV, Lausanne, Switzerland.
authors.forename: Andrea
authors.initials: A
authors.lastname: Zuffi
authors.affiliation: Interventional Cardio-Angiology Department, GVM Care and Research, Cotignola, Ravenna, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cremonesi
mesh_terms: D000368:Aged; D005260:Female; D005548:Foreign-Body Migration; D006801:Humans; D011475:Prosthesis Failure; D012008:Recurrence; D015607:Stents / Q000009:adverse effects*; D013348:Subclavian Artery; D014656:Vascular Surgical Procedures / Q000379:methods; D014715:Vertebrobasilar Insufficiency / Q000601:surgery*