PMC6421334_01
(A) Pre-stent left VA (B,C) left VA with Accunet prior to stent deployment (D) implanting left VA Herculink stent with balloon angioplasty (E) post-stent left VA.
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F1
Pre-implant and repeat control angiography demonstrated acceptable stent placement with subsequent prompt flow through the now resolved stenosis (Figure 1).
(A) Retained Accunet EPD following left VA stenting (B) Rosen wire placed following failed attempt to retrieve embolic protection device (C) pre-deployed position of EverFlex stent (D,E) left VA post EverFlex stent deployment.
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F2
The stent was implanted, which impressively flattened the Accunet filter completely against the arterial wall (Figure 2).
Sixteen-month follow-up CT Angiography. (A) Coronal view, left VA remains patent (arrow) (B) Axial view, the Accunet EPD (arrow) is flattened against the VA wall by the EV3 EverFlex stent.
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F3
Sixteen month follow-up CT angiogram showed a widely patent EverFlex self-expanding stent and he has remained neurologically stable after 21 months of clinical follow-up since his VA stent surgery (Figure 3).