1naresh
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No.* Stenting Sequence GC into VA Stent Type†, Size (mm) Inflation Pressure (atm) Stenosis (%) Pre/Post DSA FU Stenosis (%/mo) mRS Last FU (score/mo) 1 R-V1→R-V4 Yes R-V1 Bio 4 × 15, R-V4 Bio 3.5 × 11 11, 10 60/20, 80/0 NA 1/59 2 R-V4→R-V1 Yes R-V1 Bio 4 × 11, R-V4 Cor 3 × 13 10, 8 50/0, 90/15 NA 0/52 3 R-V1→BA Yes R-V1 Cor 4 × 13, BA Bio 2 × 7 12, 7 30/0, 70/0 NA 0/50 4 RV1→BA No R-V1 Bio 4 × 15, BA failed 12 70/0, 95/95 NA 6/4 5 L-V4→L-V1 Yes L-V1 Fir 4 × 13, L-V4 Bio 3 × 28 14, 9 40/25, 70/15 10/6, 0/6 0/13 6 BA→L-V1 Yes L-V1 Bio 4 × 15, BA Apo 3 × 8 15, 9 60/20, 70/15 NA 0/20 7 R-V1→R-V4→R-V3 No R-V1 Tax 3.5 × 16, R-V4 Apo 2.5 × 13, R-V3 Apo 2.5 × 13 12, 16, 10 60/20, 70/10, 70/10 30/8, 30/8, 30/8 2/35 8 L-V1→L-V4 Yes L-V1 Exp 6 × 18, L-V4 Bio 3.5 × 15 10, 12 95/10, 95/20 5/7, 10/7 0/34 9 RV1→BA Yes R-V1 Exp 6 × 18 10, 8 50/0, 80/0 NA 0/30 10 R-V1→R-V4 Yes R-V1 Exp 5 × 19, R-V4 Bio 3 × 15 10, 10 70/0, 80/20 0/7, 0/7 0/18
Note:—mo indicates months; FU, follow-up; GC, guiding catheter; Pre, prestenting; Post, poststenting; VA, vertebral artery; DSA, digital subtraction angiography; mRS, modified Rankin scale; NA, not available.
* Case 2: general anesthesia, right brachial artery access, prestenting lumen diameter of the right VAO larger than guiding catheter. Case 4: tortuous right SA, excessive (3 mm) protrusion of VAO stent into the SA, failed to advance guiding catheter into the VA, failed to cross BA stenosis with microguidewire. Case 6: concurrent contralateral (right) VAO 90% stenosis stented first, prestenting lumen diameter of left VAO larger than guiding catheter. Case 7: excessive (5 mm) protrusion of VAO stent into the SA, failed to advance guiding catheter into VA but intracranial stents successfully delivered over microguidewire. Case 8: EPD (FilterWire, Boston Scientific, Natick, Mass) used during VAO stenting. Case 10: simultaneous stenting of right intracranial ICA.
† Apo indicates Apollo stent (MicroPort Medical, Shanghai, China); Bio, BiodivYsio (Abbott Laboratories, Abbott Park, Ill); Cor, Coroflex (Braun, Melsungen, Germany); Exp, Express (Boston Scientific, Natick, Mass); Fir, Firebird (MicroPort Medical); Tax, TAXUS Express (Boston Scientific,).