Document Detail


Subclavian stents and stent-grafts: cause for concern?
MedLine Citation:
PMID:  10495148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report cases of stent and stent-graft fracture in the subclavian vessels. METHODS AND RESULTS: Three patients with self-expanding stents of 3 different types in 1 subclavian artery and 2 subclavian veins presented with recurrent symptoms 6 months to 2 years after stenting. All devices showed signs of compression with stent fracture. The covered stent in the subclavian artery was excised. Of the 2 venous patients, 1 was treated with first rib resection and the other refused further treatment. CONCLUSIONS: The subclavian vessels are prone to flexion during movement, and the vessels may be compressed by external structures, including the clavicle and first rib. Stents that have not been designed to withstand these forces may be damaged.
Authors:
L H Phipp; D J Scott; D Kessel; I Robertson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery     Volume:  6     ISSN:  1074-6218     ISO Abbreviation:  J Endovasc Surg     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-11-02     Completed Date:  1999-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9500580     Medline TA:  J Endovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  223-6     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, St. James's and Seacroft University Hospitals, Leeds, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / diagnosis,  surgery
Angiography
Angioplasty, Balloon
Coated Materials, Biocompatible
Female
Graft Occlusion, Vascular / diagnosis,  etiology*,  surgery
Humans
Middle Aged
Prosthesis Failure*
Reoperation
Saphenous Vein / transplantation*
Stents / adverse effects*
Subclavian Artery / radiography,  surgery*,  ultrasonography
Subclavian Vein / radiography,  surgery*,  ultrasonography
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
Venous Thrombosis / diagnosis,  surgery
Chemical
Reg. No./Substance:
0/Coated Materials, Biocompatible

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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