Heart Center of Shonan Kamakura General Hospital, Kamakura City, Japan.
Catheter Cardiovasc Interv. 2011 Feb 1;77(2):305-7. doi: 10.1002/ccd.22736.
An 80-year-old man received stent implantation for severe stenosis of the right renal artery. During the procedure, the proximal edge of the stent was successfully positioned at the ostium of the renal artery. After 6 months, follow-up renal angiography showed transverse stent fracture without restenosis. The proximal part of the fractured stent had moved and protruded into the abdominal aorta. Three years later, the proximal part of the fractured stent had migrated from the renal artery to the wall of infrarenal aorta. This is the first reported case of stent migration of the renal artery caused by a complete transverse stent fracture.
一位 80 岁男性因右肾动脉严重狭窄接受支架植入术。手术过程中,支架的近端边缘成功定位在肾动脉口。6 个月后,随访肾血管造影显示支架横向断裂,无再狭窄。断裂支架的近端已移动并突入腹主动脉。3 年后,断裂支架的近端已从肾动脉迁移至肾下腹主动脉壁。这是首例完全横向支架断裂导致肾动脉支架迁移的报告病例。