Acute Stent Migration into the Right Ventricle in a Patient with Iliac Vein Stenting

Abstract

Endovascular stent placement for chronic postthrombotic iliofemoral venous obstructive lesions is an effective therapeutic option and might be complicated by stent migration. We report a case of a venous stent that was lost from the iliac vein into the right ventricle rescued by emergent open-heart surgery.

Keywords

venous disease - endovascular procedures/stents - except PCI - heart failure - cardiopulmonary bypass - CPB

• References

• 1 Lichtenberg MK, Jalaie H. Recanalization techniques for venous outflow obstruction [in German]. Dtsch Med Wochenschr 2016; 141 (24) 1736-1739
• 2 Falcoz MT, Falvo N, Aho-Glélé S. , et al; Burgundy Research; Study Group on Treatment of Venous Diseases. Endovascular stent placement for chronic post-thrombotic symptomatic ilio-femoral venous obstructive lesions: a single-center study of safety, efficacy and quality-of-life improvement. Quant Imaging Med Surg 2016; 6 (04) 342-352
• 3 Srinivas BC, Patra S, Reddy B, Nagesh CM, Agarwal N, Manjunath CN. Outcome of venous stenting following catheter directed thrombolysis for acute proximal lower limb venous thrombosis: a prospective study with venous Doppler follow-up at 1-year. Cardiovasc Interv Ther 2015; 30 (04) 320-326
• 4 Steinberg E, Gentile C, Heller M, Kaban N, Bang E, Li T. Intracardiac venous stent migration: emergency department presentation of a catastrophic complication. J Emerg Med 2017; 53 (01) e11-e13
• 5 Ashar RM, Huettl EA, Halligan R. Percutaneous retrieval of a Wallstent from the pulmonary artery following stent migration from the iliac vein. J Interv Cardiol 2002; 15 (02) 101-106
• 6 Wu Z, Zheng X, He Y. , et al. Stent migration after endovascular stenting in patients with nutcracker syndrome. J Vasc Surg Venous Lymphat Disord 2016; 4 (02) 193-199