CardioVascular and Interventional Radiology

, Volume 31, Issue 5, pp 1013–1017 | Cite as

Stent Fracture and Reocclusion After Placement of a Single Self-Expanding Stent in the Common Iliac Artery and Endovascular Treatment

  • Wataru HigashiuraEmail author
  • Shoji Sakaguchi
  • Kengo Morimoto
  • Kimihiko Kichikawa
Case Report


We present a case of fracture of a single self-expanding stent placed in the common iliac artery (CIA). An 80-year-old woman underwent placement of a self-expanding stent for CIA occlusion. Stent fracture and reocclusion were detected after 18 months. Successful revascularization was achieved using a stent-in-stent maneuver. The possibility of stent fracture with reocclusion should be considered following treatment with a single self-expanding stent for CIA occlusion.


Iliac artery Stent farcture Percutaneous transluminal angioplasty Reocclusion 


  1. 1.
    Norgeren L, Hiatt WR, Dormandy JA, Nehler MR, Fowkes FGR, on behalf of the TASC II Working Group (2007) Inter-society consensus for the management of peripheral arterial disease. J Vasc Surg 45(Suppl):S5A–S67AGoogle Scholar
  2. 2.
    Sacks BA, Miller A, Gottlieb M (1996) Fracture of an iliac artery Palmaz stent. J Vasc Interv Radiol 7:53–55PubMedCrossRefGoogle Scholar
  3. 3.
    Valibhoy AR, Mwipatayi BP, Sieunarine K (2007) Fracture of a carotid stent: an unexpected complication. J Vasc Surg 45:603–606PubMedCrossRefGoogle Scholar
  4. 4.
    Phipp LH, Scott DJA, Kessel D, Robertson I (1999) Subclavian stents and stent-grafts: cause for concern? J Endovasc Surg 6:223–226PubMedCrossRefGoogle Scholar
  5. 5.
    Schlarger O, Dick P, Sabeti S et al (2005) Long-segment SFA stenting—the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther 12:676–684CrossRefGoogle Scholar
  6. 6.
    Higashiura W, Kichikawa K, Sakaguchi S et al (2004) Does stent affect the configuration of the iliac artery in flexion of the hip joint? Jpn J Endovasc Interv 5:22–24Google Scholar
  7. 7.
    Scheinert D, Scheinert S, Sax J et al (2005) Prevalence and clinical impact of stent fractures after femoropopliteal stenting. J Am Coll Cardiol 45:312–315PubMedCrossRefGoogle Scholar
  8. 8.
    Laird JR (2006) Limitations of percutaneous transluminal angioplasty and stenting for the treatment of disease of the superficial femoral and popliteal arteries. J Endovasc Ther 13(Suppl II):II-30–II-40CrossRefGoogle Scholar
  9. 9.
    Iida O, Nanto S, Uematsu M et al (2006) Effect of exercise on frequency of stent fracture in the superficial femoral artery. Am J Cardiol 98:272–274PubMedCrossRefGoogle Scholar
  10. 10.
    Nordmeyer J, Khambadkone S, Coats L et al (2007) Risk stratification, systematic classification, and anticipatory management strategies for stent fracture after percutaneous pulmonary valve implantation. Circulation 115:1392–1397PubMedCrossRefGoogle Scholar
  11. 11.
    Jacobs TS, Won J, Gravereaux EC et al (2003) Mechanical failure of prosthetic human implants: a 10-year experience with aortic stent graft devices. J Vasc Surg 37:16–26PubMedCrossRefGoogle Scholar
  12. 12.
    Schillinger M, Sabeti S, Loewe C et al (2006) Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med 354:1879–1888PubMedCrossRefGoogle Scholar
  13. 13.
    Anderson ME, Price JW, Parashos P (2007) Fracture resistance of electropolished rotary nickel-titanium endodontic instruments. J Endod 33:1212–1216PubMedCrossRefGoogle Scholar
  14. 14.
    Kim SR, Baik MW, Yoon SH, Park IS, Kim SD, Kim MC (2007) Stent fracture and restenosis after placement of a drug-eluting device in the vertebral artery origin and treatment with the stent-in-stent technique. J Neurosurg 106:907–911PubMedCrossRefGoogle Scholar
  15. 15.
    Knirsch W, Hass NA, Lewin MAG, Uhlemann F (2003) Longitudinal stent fracture 11 months after implantation in the left pulmonary artery and successful management by a stent-in-stent maneuver. Cathet Cardiovascc Interv 58:116–118CrossRefGoogle Scholar
  16. 16.
    Ginsburg R, Thorpe P, Bowles CR et al (1989) Pull-through approach to percutaneous angioplasty of totally occluded common iliac arteries. Radiology 172:111–113PubMedGoogle Scholar
  17. 17.
    Yamagami T, Kato T, Hirota T, Yoshimatsu R, Matsumoto T, Nishimura T (2006) Use of a pull-through technique at the time of port-catheter implantation in cases of celiac arterial stenosis. J Vasc Interv Radiol 17:1839–1844PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Wataru Higashiura
    • 1
    Email author
  • Shoji Sakaguchi
    • 1
  • Kengo Morimoto
    • 1
  • Kimihiko Kichikawa
    • 1
  1. 1.Department of RadiologyNara Medical UniversityKashiharaJapan

Personalised recommendations