A Crushed and Totally Migrated Iliac Stent into the Abdominal Aorta: Look More Carefully!

Document Type : Case Report

Authors

1 Kocaeli University Medical Faculty, Department of Cardiology, Kocaeli, Turkey.

2 Kocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, Turkey.

3 Biruni University Medical Faculty, Department of Cardiology, Istanbul, Turkey.

Abstract

Endovascular interventions are being increasingly used around the world. They are accepted as the primary approach to aortoiliac occlusive disease in most cases. Mainly, balloon-expandable stents are utilized to treat lesions, and some patients may develop complications. Stents may thrombose or migrate due to the force of the bloodstream or their inappropriate dimensions. Sometimes, the operator is to blame.
We herein describe a 67-year-old patient with a history of multiple endovascular interventions presenting to the emergency department with right foot pain. The patient underwent repeated angiography and endovascular intervention. In the last approach, diagnostic angiography revealed a crushed and migrated balloon-expandable stent in the abdominal aorta. The stent was removed surgically, and aorta-femoral bypass grafting was performed.
Endovascular maneuvers could lead to these complications; hence, the operator should exercise caution when working on previously implanted stents. Optimal stent expansion and awareness of this very uncommon complication are essential. (Iranian Heart Journal 2022; 23(4): 135-140)

Keywords

References

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Iranian Heart Journal
Volume 23, Issue 4
October 2022
Pages 135-140

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