title: Endovascular reconstruction of internal carotid artery dissection in patients with acute ischemic stroke using the Wingspan stent.
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.
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain emuriass@hotmail.com.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Murias Quintana
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Vega Valdés
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain.
authors.forename: Edison
authors.initials: E
authors.lastname: Morales Deza
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario de Cruces, Bilbao, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Gil Garcia
authors.affiliation: Neurosurgery, Louisiana State University (LSU) Health Sciences Center, LSU, Shreveport, LA, USA.
authors.forename: Hugo
authors.initials: H
authors.lastname: Cuellar Saenz
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain.
authors.forename: Alba L
authors.initials: AL
authors.lastname: Salgado Bernal
authors.affiliation: Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Cadenas Rodríguez
authors.affiliation: Neurology, Hospital Universitario Central de Asturia, Oviedo, Spain.
authors.forename: Lorena
authors.initials: L
authors.lastname: Benavente Fernández
authors.affiliation: Neurology, Hospital Universitario Central de Asturia, Oviedo, Spain.
authors.forename: Montserrat González
authors.initials: MG
authors.lastname: Delgado
authors.affiliation: Neurology, Hospital Universitario Central de Asturia, Oviedo, Spain.
authors.forename: Nuria
authors.initials: N
authors.lastname: Riesco Pérez
authors.affiliation: Neurology, Hospital Universitario Central de Asturia, Oviedo, Spain.
authors.forename: Davinia
authors.initials: D
authors.lastname: Larrosa Campo
authors.affiliation: Neurology, Hospital Universitario Central de Asturia, Oviedo, Spain.
authors.forename: Sergio
authors.initials: S
authors.lastname: Calleja Puerta
mesh_terms: D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D002545:Brain Ischemia / Q000209:etiology / Q000601:surgery*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000601:surgery*; D002533:Cerebral Angiography; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Wingspan stent; brain; carotid dissection; carotid stent; internal carotid artery; stent; stroke