All too often the desire to try to do angioplasty alone — in this case because of concerns about endocarditis and antiplatelet compliance
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-01.png)
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-02.png)
Base Camp / High Point 88 angioplasty with Tenzig 8
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-03.png)
delayed restenosis — now balloon and hi point 88 angioplasty
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-04.png)
1 hour later seems stable. Left on Integrilin 2 mcg/kg/min drip…
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-05.png)
At 1 am — about 6 hours later…
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-06.png)
Reclosed. Reopened. One of the longer wider stents — it bends, but see how it uplifts the supraclinoid ICA. No problem. Needs good support to advance.
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-07.png)
A few more hits on the final lateral view…
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-08.png)
![](http://www.neuroangio.org/wp-content/uploads/Archives/Stroke/Intracranial-Stenting/Anterior-genu-angioplasty-reocclusion-stenting/Anterior-genu-angioplasty-reocclusion-stenting-09.png)