Lee Yong-Joon, Shin Dong-Ho, Kim Jung-Sun, Kim Byeong-Keuk, Ko Young-Guk, Hong Myeong-Ki, Jang Yangsoo, Choi Donghoon
Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea.
Korean Circ J. 2015 Nov;45(6):522-5. doi: 10.4070/kcj.2015.45.6.522. Epub 2015 Nov 25.
Primary stenting in femoropopliteal lesions of intermediate length has recently shown favorable outcomes. However, stent fractures are a concern after bare metal stent implantation. The incidence of stent fracture varies widely (ranging from 2% to 65%) depending on factors such as the treated lesions or stent type and may potentially lead to various complications. We reported a case of stent fracture with complete dislocation combined with recurrent in-stent reocclusion and aneurysm formation in a patient with occlusive disease of the femoropopliteal artery, which was successfully treated with self-expandable endovascular stent graft.
近期研究表明,对中等长度的股腘动脉病变进行初次支架植入可取得良好疗效。然而,裸金属支架植入后,支架断裂是一个令人担忧的问题。支架断裂的发生率差异很大(从2%到65%不等),这取决于所治疗的病变或支架类型等因素,并且可能会引发各种并发症。我们报告了1例股腘动脉闭塞性疾病患者发生支架完全脱位性断裂,并伴有支架内再闭塞和动脉瘤形成的病例,该病例通过自膨式血管内支架移植物成功治愈。