CardioVascular and Interventional Radiology

, Volume 35, Issue 6, pp 1500–1504 | Cite as

Fracture and Collapse of Balloon-Expandable Stents in the Bilateral Common Iliac Arteries Due to Shiatsu Massage

  • Shigeo IchihashiEmail author
  • Wataru Higashiura
  • Hirofumi Itoh
  • Shoji Sakaguchi
  • Kimihiko Kichikawa
Case Report


We report a case of stent fracture and collapse of balloon-expandable stents caused by shiatsu massage. A 76-year-old man presented with complaints of intermittent claudication of the right lower extremity. Stenoses of the bilateral common iliac arteries (CIAs) were detected. Balloon-expandable stents were deployed in both CIAs, resulting in resolution of symptoms. Five months later, pelvis x-ray showed collapse of both stents. Despite the stent collapse, the patient was asymptomatic, and his ankle brachial index values were within the normal range. Further history showed that the patient underwent daily shiatsu therapy in the umbilical region, which may have triggered collapse of the stent. Physicians should advise patients to avoid compression of the abdominal wall after implantation of a stent in the iliac artery.


Stent fracture Stent collapse Balloon expandable stent Shiatsu Iliac artery Peripheral arterial disease 


Conflict of interest

The authors have no commercial, proprietary, or financial interest in any products or companies described in this article.


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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

Authors and Affiliations

  • Shigeo Ichihashi
    • 1
    Email author
  • Wataru Higashiura
    • 1
  • Hirofumi Itoh
    • 1
  • Shoji Sakaguchi
    • 1
  • Kimihiko Kichikawa
    • 1
  1. 1.Department of RadiologyNara Medical UniversityKashiharaJapan

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