Superficial femoral artery stent fracture that led to perforation, hematoma and deep venous thrombosis.
We describe the case of a 70-year old male with total occlusion of the left superficial femoral artery (SFA) treated with percutaneous implantation of a self-expanding nitinol stent. The patient's course post-stent implantation was complicated by the development of stent fracture with SFA perforation and a large, compressive intramuscular hematoma with deep venous thrombosis (DVT). The patient returned to the catheterization laboratory where the fracture and perforation were successfully treated by the deployment of another stent across the fracture site. The DVT was initially treated with an inferior vena cava filter until anticoagulation could safely be instituted.
Lewitton
Steve
S
New York University School of Medicine, Deaprtment of Medicine, Division of Cardiology, New York, New York 10016, USA.
Babaev
Anvar
A