title: Subclavian Vein Stent Fracture and Venous Motion.
abstract: Primary subclavian vein stents are not recommended for venous thoracic outlet syndrome before surgical decompression by first rib resection due to a high risk of fracture because they are compressed between the clavicle and first rib. After rib removal, however, stent insertion has been advocated for venous restenosis, and it is felt that stent fracture is unlikely to occur. We present a case suggesting that repetitive differential vein movement during respiration may be one of the causative factors for stent fractures occurring in this anatomic region.
authors.affiliation: Department of Surgery, University of Oklahoma, College of Medicine, Tulsa, OK; Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France. Electronic address: alexandrosmallios@gmail.com.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Mallios
authors.affiliation: Department of Surgery, University of Oklahoma, College of Medicine, Tulsa, OK.
authors.forename: Kevin
authors.initials: K
authors.lastname: Taubman
authors.affiliation: Department of Surgery, University of Oklahoma, College of Medicine, Tulsa, OK.
authors.forename: Paul
authors.initials: P
authors.lastname: Claiborne
authors.affiliation: Department of Surgery, University of Oklahoma, College of Medicine, Tulsa, OK.
authors.forename: John
authors.initials: J
authors.lastname: Blebea
mesh_terms: D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation*; D003251:Constriction, Pathologic; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011475:Prosthesis Failure; D012008:Recurrence; D019233:Retreatment; D015607:Stents; D013350:Subclavian Vein / Q000000981:diagnostic imaging / Q000503:physiopathology*; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome