Iranian Heart Association Iranian Heart Journal 23 4 2022 10 01 A Crushed and Totally Migrated Iliac Stent into the Abdominal Aorta: Look More Carefully! 135 140 158162 EN Burak Acar Kocaeli University Medical Faculty, Department of Cardiology, Kocaeli, Turkey. Zeki Talas Kocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, Turkey. Ibrahim Halil Ulas Bildirici Biruni University Medical Faculty, Department of Cardiology, Istanbul, Turkey. Oguz Omay Kocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, Turkey. Journal Article 2022 04 09 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.<strong><em> (Iranian Heart Journal 2022; 23(4): 135-140)</em></strong> https://journal.iha.org.ir/article_158162_94ec4f270aee5b3521b07702207fa5a3.pdf