Peripheral self-expandable stent catheter fracture: Retrieval of two different components with two different modalities

A 58-year-old man whose right superficial femoral artery had been stented 2 weeks previously presented at the emergency service complaining of right leg pain of 2 days' duration. Angiography revealed a radiopaque foreign body distal to the stent. It was removed with a snare. Due to sudden disap...

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Bibliographic Details
Published inTürk Kardiyoloji Derneği arşivi Vol. 43; no. 4; p. 381
Main Authors Gürbüz, Ahmet Seyfeddin, Öztürk, Semi, Efe, Süleyman Çağan, Yazıcıoğlu, Mehmet Vefik
Format Journal Article
LanguageEnglish
Published Turkey 01.06.2015
Subjects
Angiography
Catheters - adverse effects
Femoral Artery - diagnostic imaging
Femoral Artery - surgery
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Humans
Iatrogenic Disease
Male
Middle Aged
Popliteal Artery - diagnostic imaging
Popliteal Artery - surgery
Stents - adverse effects
Thrombosis
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Summary:A 58-year-old man whose right superficial femoral artery had been stented 2 weeks previously presented at the emergency service complaining of right leg pain of 2 days' duration. Angiography revealed a radiopaque foreign body distal to the stent. It was removed with a snare. Due to sudden disappearance of the popliteal artery pulse seventy-two hours after the procedure, an urgent control angiogram was performed, which showed a large thrombus occluding the superficial femoral artery. Surgery revealed a second larger radiolucent foreign body causing the thrombus. This was recognized as the distal tip and shaft of the peripheral self-expandable stent catheter used in the initial procedure. This report discusses preventive measures to be taken against this complication.
ISSN:1016-5169
DOI:10.5543/tkda.2015.92043