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Case report

Endovascular treatment of in-stent restenosis of right ICA using dual layer micromesh Roadsaver stent

This is an interesting and unusual case of in-stent restenosis after CAS.

The patient had been stented on both ICA , left side with dual layer micro mesh stent and right side with an open cell design, Protege, Medtronic.

Restenosis occured on the right side where open cell stent was placed, even though leftside was stented before.

We decided to go for a “stent in stent” solution in order to achieve better result, and Roadsaver stent was chosen for this purpose.

Final result was satisfaying.

 

August 5, 2020 No Comments
Experts opinion
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IVUS vs Angio – Thrombus

Dr Lichtenberg demonstrates the sensitivity of IVUS to detect and differentiate between chronic and acute thrombus, and how this information informs treatment strategy.
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IVUS vs Angio – Plaque Burden

Dr Stavroulakis discusses how angiography can often underestimate severity of PAD, and how IVUS can accurately measure and quantify percent stenosis and plaque burden.
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IVUS vs Angio – Dissection

Dr Lichtenberg demonstrates the ability of IVUS to reveal the depth, circumference and free lumen area resulting from dissection and how this may impact treatment strategy.
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IVUS vs Angio – Calcification

Dr Stavroulakis demonstrates the use of IVUS to understand calcium geometry and morphology and how this may influence treatment strategy.
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IVUS vs Angio – what is the added value of IVUS?

Using case based examples, Dr Stavroulakis discusses the four pillars of IVUS, a framework that demonstrates the added value IVUS brings to angiography.
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IVUS vs Angio – Introduction to Intravascular Ultrasound

Dr Lichtenberg and Dr Stavroulakis discuss the IVUS technical characteristics and the rationale for using IVUS to complement angiography in PAD intervention.
Vascupedia VIEWS 2.0

Vascupedia Views Episode 9 Percutaneous Deep Vein Arterialization (pDVA) Essentials – Patient Identification, Key Success Factors, and 2 Year ALPS Registry Data with the LimFlow System

Vascupedia Views Episode 9

Percutaneous Deep Vein Arterialization (pDVA) Essentials – Patient Identification, Key Success Factors, and 2 Year ALPS Registry Data with the LimFlow System

Dr. R. Ferraresi (IT) + Dr. S. Kum (SGP)

Moderator: Dr. T. Bisdas (GR)

June 10, 2020 No Comments