Advertisement

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 Ichihashi
  • Wataru Higashiura
  • Hirofumi Itoh
  • Shoji Sakaguchi
  • Kimihiko Kichikawa
Case Report

Abstract

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.

Keywords

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

Notes

Conflict of interest

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

References

  1. 1.
    Sfyroeras GS, Koutsiaris A, Karathanos C et al (2010) Clinical relevance and treatment of carotid stent fractures. J Vasc Surg 51:1280–1285PubMedCrossRefGoogle Scholar
  2. 2.
    Mathur A, Dorros G, Iyer SS et al (1997) Palmaz stent compression in patients following carotid artery stenting. Cathet Cardiovasc Diagn 41:137–140PubMedCrossRefGoogle Scholar
  3. 3.
    Higashiura W, Kubota Y, Sakaguchi S et al (2009) Prevalence, factors, and clinical impact of self-expanding stent fractures following iliac artery stenting. J Vasc Surg 49:645–652PubMedCrossRefGoogle Scholar
  4. 4.
    Iida O, Nanto S,MD, Uematsu M et al (2009) Influence of stent fracture on the long-term patency in the femoro-popliteal artery. JACC Cardiovasc Interv 2:665–671PubMedCrossRefGoogle Scholar
  5. 5.
    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
  6. 6.
    Adlakha S, Sheikh M, Wu J et al (2010) Stent fracture in the coronary and peripheral arteries. J Interv Cardiol 23:411–419PubMedCrossRefGoogle Scholar
  7. 7.
    Sawhney R, Allen D, Nanavati S et al (2008) Kissing balloon-expandable iliac stents complicated by stent fracture. J Vasc Interv Radiol 19:1519–1520PubMedCrossRefGoogle Scholar
  8. 8.
    Sacks BA, Miller A, Gottlieb M (1996) Fracture of an iliac artery Palmaz stent. J Vasc Interv Radiol 7:53–55PubMedCrossRefGoogle Scholar
  9. 9.
    Higashiura W, Sakaguchi S, Morimoto K et al (2008) Stent fracture and reocclusion after placement of a single self-expanding stent in the common iliac artery and endovascular treatment. Cardiovasc Intervent Radiol 31:1013–1037PubMedCrossRefGoogle Scholar
  10. 10.
    Bjarnason H, Hunter DW, Crain MR et al (1993) Collapse of a Palmaz stent in the subclavian vein. AJR Am J Roentgenol 160:1123–1124PubMedGoogle Scholar

Copyright information

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

Authors and Affiliations

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

Personalised recommendations