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Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome

Wingspan stent in the setting of symptomatic intracranial atherosclerotic disease (ICAD) has shown to be associated with in-stent restenosis (ISR). Conventional angiography is typically used to detect ISR, but quantitative magnetic resonance angiography (QMRA), a non-invasive measure of blood hemody...

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Detalles Bibliográficos
Autores principales: Ballout, Ahmad, Schneider, Julia R, Katz, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253166/
https://www.ncbi.nlm.nih.gov/pubmed/34249545
http://dx.doi.org/10.7759/cureus.15395
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author Ballout, Ahmad
Schneider, Julia R
Katz, Jeffrey
author_facet Ballout, Ahmad
Schneider, Julia R
Katz, Jeffrey
author_sort Ballout, Ahmad
collection PubMed
description Wingspan stent in the setting of symptomatic intracranial atherosclerotic disease (ICAD) has shown to be associated with in-stent restenosis (ISR). Conventional angiography is typically used to detect ISR, but quantitative magnetic resonance angiography (QMRA), a non-invasive measure of blood hemodynamics, has also been used to screen for ISR. This report highlights a case where QMRA failed to screen for ISR in a patient who received a Wingspan stent for symptomatic intracranial vertebral artery stenosis but predicted good long-term outcome. The patient remained asymptomatic and had robust vertebrobasilar flow at long-term follow-up despite developing ISR.
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spelling pubmed-82531662021-07-09 Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome Ballout, Ahmad Schneider, Julia R Katz, Jeffrey Cureus Neurology Wingspan stent in the setting of symptomatic intracranial atherosclerotic disease (ICAD) has shown to be associated with in-stent restenosis (ISR). Conventional angiography is typically used to detect ISR, but quantitative magnetic resonance angiography (QMRA), a non-invasive measure of blood hemodynamics, has also been used to screen for ISR. This report highlights a case where QMRA failed to screen for ISR in a patient who received a Wingspan stent for symptomatic intracranial vertebral artery stenosis but predicted good long-term outcome. The patient remained asymptomatic and had robust vertebrobasilar flow at long-term follow-up despite developing ISR. Cureus 2021-06-02 /pmc/articles/PMC8253166/ /pubmed/34249545 http://dx.doi.org/10.7759/cureus.15395 Text en Copyright © 2021, Ballout et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Ballout, Ahmad
Schneider, Julia R
Katz, Jeffrey
Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title_full Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title_fullStr Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title_full_unstemmed Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title_short Quantitative Magnetic Resonance Angiography Fails to Screen In-Stent Restenosis but Predicts Good Long-Term Outcome
title_sort quantitative magnetic resonance angiography fails to screen in-stent restenosis but predicts good long-term outcome
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253166/
https://www.ncbi.nlm.nih.gov/pubmed/34249545
http://dx.doi.org/10.7759/cureus.15395
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