Rupture and Migration of an Endovascular Stent in the Brachiocephalic Trunk Causing a Vertebral Steal Syndrome

Journal Article · Tue Jul 15 00:00:00 EDT 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-007-9254-8· OSTI ID:21450381

Periard, D; Haesler, E; Hayoz, D ^[1]; Von Segesser, L K ^[2]; Qanadli, S D ^[3]

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1. University Hospital (CHUV), Service of Angiology (Switzerland)
2. University Hospital (CHUV), Cardiovascular and Metabolic Diseases Center (Switzerland)
3. University Hospital (CHUV), Department of Radiology (Switzerland)

Delayed stent fracture has been observed in many different arteries and may represent a risk factor for restenosis. We describe the case of a delayed rupture of an endovascular brachiocephalic trunk stent. The complete fracture allowed a fragment to migrate distally and tilt, resulting in a hemodynamic pattern similar to that of a prevertebral stenosis with complete inversion of the homolateral vertebral blood flow. The induced vertebral steal syndrome as well as the risk of cerebral embolism was corrected by an aortobrachiocephalic bypass and resection of the ruptured stent.

• OSTI ID: 21450381
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 31, Issue 2; Other Information: DOI: 10.1007/s00270-007-9254-8; Copyright (c) 2008 Springer Science+Business Media, LLC; ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD FLOW
BYPASSES
MIGRATION
RUPTURES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
FAILURES
ORGANS