RT Journal Article SR Electronic T1 Optical coherence tomography of the intracranial vasculature and Wingspan stent in a patient JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2014011114 DO 10.1136/bcr-2014-011114 VO 2014 A1 Curtis Alden Given II A1 Christian Norman Ramsey III A1 Guilherme Ferragut Attizzani A1 Michael R Jones A1 William H Brooks A1 Hiram G Bezerra A1 Marco A Costa YR 2014 UL http://casereports.bmj.com/content/2014/bcr-2014-011114.abstract AB A 67-year-old man with medically refractory vertebrobasilar insufficiency and short segment occlusions of the intracranial vertebral arteries was treated with angioplasty and stent placement. Fifteen hours after the procedure the patient developed symptoms of posterior fossa ischemia and repeat angiography showed thrombus formation within the stent which was treated with thrombolytic and aggressive antiplatelet therapy. Angiography revealed lysis of the clot, but concerns regarding the mechanism of the thrombotic phenomenon prompted frequency-domain optical coherence tomography (FDOCT) assessment. FDOCT provided excellent visualization of the stent and vessel wall interactions, as well as excluding residual flow-limiting stenosis, obviating the need for further intervention. The potential utility of FDOCT in the evaluation of intracranial atherosclerotic disease and additional intracranial applications are discussed.