Delayed carotid wallstent shortening.

INTRODUCTION

Carotid angioplasty and stenting (CAS) has been demonstrated to be safe and an acceptable alternative to surgery. Stent malpositioning can occur during the maneuvers of delivering; technical errors can lead to proximal or distal slipping of the stent that needs the placement of additional pieces.

PRESENTATION OF CASE

We describe the case of a postoperative dislocation of a carotid stent that happened 1 year after placement. After the first ultrasound control confirmed the correct position of the Stent the following one, executed 9 months later, showed a severe restenosis due to a proximal dislocation of the stent. The problem was solved with the positioning of a further one more distally.

DISCUSSION

We observe the possibility of Carotid Wallstent shortening during the implant due to an incorrect placement or sizing, but a delayed displacement is a rare complication that, we highlight, can occur after CAS and that needs to be considered at the moment of the preoperative planning.

CONCLUSION

After CAS a closed ultrasound follow up is advisable for a long time in order to detect unexpected complications.