Management of Misplaced or Migrated Endovascular Stents

Slonim, Suzanne M.; Dake, Michael D.; Razavi, Mahmood K.; Kee, Stephen T.; Samuels, Shaun; Rhee, John S.; Semba, Charles P.

doi:10.1016/s1051-0443(99)70127-2

Cited by 103 publications

(75 citation statements)

References 23 publications

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IntroductionThe rate of stent misplacement or migration is rare, occurring in less than 3 % of all percutaneous stenting procedures [1]. Accidental migration of a venous endoprosthesis into the right cavities or the pulmonary artery has been described as a rare complication of venous stenting [1,2,3, 4, 5, 6, 7, 8].

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confidence: 99%

Strecker stent migration to the pulmonary artery: long-term result of a "wait-and-see attitude"

Marcy¹,

Magné

Bruneton³

2001

European Radiology

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Accidental dislodgement of an endoprosthesis into the right cavities or the pulmonary artery is a rarely described complication of percutaneous venous stenting. In such cases the migrated stent needs to be promptly extracted by percutaneous techniques in order to avoid any major complication. We report the first case of a delayed Strecker stent migration from the left innominate vein into the right pulmonary artery, successfully managed with anticoagulant therapy and a "wait-and-see" attitude. The advanced stage-disease (metastatic cancer patient) and the large-caliber stent in a disease-free pulmonary artery led us to adopt this unorthodox attitude, as compared with the current clinical practice.

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confidence: 99%

Strecker stent migration to the pulmonary artery: long-term result of a "wait-and-see attitude"

Marcy¹,

Magné

Bruneton³

2001

European Radiology

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“…Dislodgment of a manually crimped stent from the balloon within the sheath (especially a crossover sheath) or the vessel has been described necessitating management by percutaneous techniques [12]. We did not observe stent dislodgment in our series; however, we used only stents with a length up to 39 mm to avoid too much resistance during insertion through a bended sheath.…”

Section: Discussionmentioning

confidence: 69%

Implantation of the Corinthian IQ stent into the femoropopliteal arteries using 6-F introducer sheaths in antegrade and crossover procedures: midterm results

et al. 2003

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The aim of this study was to evaluate the technical performance of the implantation of the Corinthian IQ stent into the femoropopliteal arteries using 6-F introducer sheaths. Thirty-three lesions (24 stenoses, 9 occlusions) in 32 patients (mean age 67 years) were stented. Selective stent implantation was performed after unsatisfactory percutaneous transluminal angioplasty result with an antegrade access in 21 patients and through a crossover sheath in 11 patients. A total of 36 stents were implanted. Stent delivery was successful in all cases (stent diameter 5 or 6 mm, stent length 11-38 mm). In none of the cases was stent dislodgement from the balloon observed. Stent placement was optimal without residual stenosis in 30 cases. In 1 case the stent was chosen too short requiring implantation of a second stent. In 1 patient distal embolization was observed which was treated with catheter embolectomy. Nine-month primary and secondary patency rates were 79+/-8.7 and 86+/-7.7%, respectively. Implantation of the Corinthian IQ stent into the femoropopliteal arteries using 6-F introducer sheaths is safe in antegrade and crossover procedures.

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“…Previous studies have demonstrated the high success rate of percutaneous stent removal for patients with misplaced or dislodged endovascular stents after using nitinol snare as the primary instrument. [2][3][4] There was a case report of successful removal of misplaced Fluency stent graft in patient with femoral dialysis graft using rigid endobronchial forceps. 5 The rigid endobronchial forceps technique also has been used for retrieval of tip-embedded inferior vena cava filters.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps

Kim

2016

Int J Gastrointest Interv

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Summary of Event: A transjugular intrahepatic portosystemic shunt (TIPS) stent (Viatorr) was misplaced into main portal vein and superior mesenteric vein. This misplaced covered stent was then successfully retrieved using the rigid endobronchial forceps. Teaching Point: Before release the covered portion of the TIPS stent (Viatorr), it is necessary to confirm the position of uncovered portion in portal vein and covered portion in parenchymal tract. The endobronchial forceps technique is a safe and efficient method for retrieving a misplaced TIPS stent.

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Management of Misplaced or Migrated Endovascular Stents

Cited by 103 publications

References 23 publications

Strecker stent migration to the pulmonary artery: long-term result of a "wait-and-see attitude"

Strecker stent migration to the pulmonary artery: long-term result of a "wait-and-see attitude"

Implantation of the Corinthian IQ stent into the femoropopliteal arteries using 6-F introducer sheaths in antegrade and crossover procedures: midterm results

Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps

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