Symptomatic vertebral artery stent fracture: a case report.
Percutaneous transluminal angioplasty (PTA) with stent placement is the preferred treatment modality at present for atherosclerotic stenotic lesions of vertebral artery origin. A complication of stent placement in the vertebral artery origin that has received little attention is the risk of stent fracture. A case with four-vessel pathology treated with PTA and stent placement in the left vertebral artery origin is presented. Symptoms recurred 4 months after stent placement, and arteriogram revealed a fractured stent, which was treated surgically with stent removal and vertebral artery-common carotid artery reimplantation.
Teraa
Martin
M
Department of Vascular Surgery, Room G04.129, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, The Netherlands.
Moll
Frans L
FL
van der Worp
Bart H
BH
Lo
Rob T H
RT
de Borst
Gert Jan
GJ
D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation*; D017536:Carotid Artery, Common / Q000601:surgery; D020878:Device Removal; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000209:etiology / Q000601:surgery; D011475:Prosthesis Failure; D011859:Radiography; D012092:Replantation; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014711:Vertebral Artery / Q000601:surgery; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*