Abstract
We report a case experiencing repeated common iliac artery (CIA) occlusion due to an unexpected stent deformation. A 74-year-old man with intermittent claudication had undergone balloon-expandable stenting for the left CIA. Six years after his first stent implantation, his left CIA was totally occluded inside the stent. We performed revascularization for the left CIA and achieved sufficient balloon inflation and balloon-expandable stenting. Then, one and a half years later, his left CIA was re-occluded. CT angiography showed compression by the protruding hyperostotic lumbar vertebral body, such that both stents had become deformed into a crescent shape. We were told that he had been using a powerful massage machine to stretch and relieve his spondylotic back pain. We suspected that the external pressure of the hyperostotic spondylosis and massage might have caused the CIA compression and repeated crush of the stents.
This is a preview of subscription content, log in via an institution to check access.
References
Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease(TASC II). Eur J Vasc Endovasc Surg. 2007;45(1):S5–67.
Adlakha S, Sheikh M, Wu J, et al. Stent fracture in the coronary and peripheral arteries. J Interv Cardiol. 2010;23:411–9.
Sawhney R, Allen D, Nanavati S, et al. Kissing balloon-expandable iliac stents complicated by stent fracture. J Vasc Interv Radiol. 2008;19:1519–20.
Sacks BA, Miller A, Gottlieb M. Fracture of an iliac artery Palmaz stent. J Vasc Interv Radiol. 1996;7:53–5.
Higashiura W, Sakaguchi S, Morimoto K, et al. Stent fracture and reocclusion after placement of a single self-expanding stent in the common iliac artery and endovascular treatment. Cardiovasc Interv Radiol. 2008;31:1013–37.
Ichihashi Shigeo, Higashiura Wataru, Itoh Hirofumi, Sakaguchi Shoji, Kichikawa Kimihiko. Fracture and collapse of balloon-expandable stents in the bilateral common iliac arteries due to shiatsu massage. Cardiovasc Interv Radiol. 2011;35(6):1500–4.
Higashiura W, Kubota Y, Sakaguchi S, et al. Prevalence, factors and clinical impact of self-expanding stent fractures following iliac artery stenting. J Vasc Surg. 2009;49:645–52.
Iida O, Nanto S, Uematsu M, et al. Influence of stent fracture on the long-term patency in the femoro-popliteal artery. JACC Cardiovasc Interv. 2009;2:665–71.
Scheinert D, Scheinert S, Sax J, et al. Prevalence and clinical impact of stent fractures after femoropopliteal stenting. J Am Coll Cardiol. 2005;45:312–5.
Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, et al. Long-segment SFA stenting-the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther. 2005;12:676–84.
Schillinger M, Sabeti S, Dick P, Amighi J, Mlekusch W, Schlager O, et al. Sustained benefit at 2 years of primary femoropopliteal stenting campared with balloon angioplasty with optional stenting. Circulation. 2007;115:2745–9.
Duerig TW, Wholey M. A comparison of balloon- and self-expanding stents. Min Invas Ther Allied Technol. 2002;11(4):173–8.
Ihara M, Tsukamoto Y, Murai O, Kudo M, Tamazaki T. Efficacy of metal tip catheter for chronic total occlusion lesions in peripheral arterial disease. Cardiovasc Interv Ther. 2012;27:19–23.
Conflict of interest
There is no conflict of interest to declare.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ihara, M., Ueno, A., Tsuda, Y. et al. A case of repeated occlusion in the common iliac artery due to an unexpected stent deformation. Cardiovasc Interv and Ther 30, 162–167 (2015). https://doi.org/10.1007/s12928-014-0267-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-014-0267-3