Fracture of a drug-eluting stent in the tibioperoneal trunk following bifurcation stenting.
OBJECTIVE
To report a complication of stent placement at a bifurcation in the infrapopliteal arteries.


METHODS
A 60-year-old man presented with a complex subtotal stenosis in the anterior tibial artery and the tibioperoneal trunk. Two drug-eluting stents were implanted by means of the crush technique, successfully recanalizing the trifurcation. One week later, the patient was readmitted with a thrombotic occlusion of the popliteal artery. Fluoroscopy showed a fracture of the larger stent in the tibioperoneal trunk. After successful local thrombolysis, a stent fragment was located in the popliteal artery and removed with an Amplatz snare. Long-term follow-up was uneventful.


CONCLUSIONS
Fracture may be a more common complication of bifurcation stenting when undertaken in a territory at high risk for this complication.
Schwarzmaier-D'Assie
Alexandra
A
Departments of Medicine II, KA Rudolfstiftung, Vienna, Austria. alexandra.schwarzmaier-dassie@wienkav.at
Karnik
Ronald
R
Bonner
Gerhard
G
Vavrik
Joachim
J
Slany
Joerg
J
D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D003251:Constriction, Pathologic / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011475:Prosthesis Failure; D015641:Radiography, Interventional; D015607:Stents; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D016909:Tibial Arteries / Q000000981:diagnostic imaging; D018616:Ultrasonography, Doppler, Duplex