title: Reocclusion caused by stent fracture implanted in the subclavian artery ostium: a case report.
abstract: A 47 year-old male, a woodcutter by profession, complained of severe pain in the left arm during physical stress. Eighteen months ago, a balloon-expandable stainless steel stent had been implanted in the left subclavian artery ostium. The angiography revealed a stent fracture at the origin of the left subclavian artery, this condition led to a re-obstruction of the stent. After the insertion of a self-expandable Nitinol stent, the side differences of arterial pressure and the symptoms disappeared. This is the first reported case of a stent fracture inserted at the origin of the subclavian artery without severe calcification.
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan. shinori3@tokai-u.jp
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shinozaki
authors.forename: Ralf
authors.initials: R
authors.lastname: Langhoff
authors.forename: Karl-Ludwig
authors.initials: KL
authors.lastname: Schulte
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents / Q000009:adverse effects*; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*