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1例在股浅动脉植入镍钛诺支架141个月后并发浮动骨折支架的病例。

A case complicated by floating fractured stent 141 months after nitinol stent implantation in the superficial femoral artery.

作者信息

Tsujimura Takuya, Ishihara Takayuki, Iida Osamu, Fujita Masashi, Okamoto Shin, Uematsu Masaaki

机构信息

Kansai Rosai Hospital Cardiovascular Center, Hyogo, Japan.

出版信息

J Cardiol Cases. 2017 Apr 29;16(2):38-40. doi: 10.1016/j.jccase.2017.04.002. eCollection 2017 Aug.

Abstract

An 80-year-old man received the implantation of a self-expanding stent (Luminexx, Bard, Inc., Murray Hill, NJ, USA) for an in-stent restenosis (ISR) lesion in the superficial femoral artery. However, angiography 141 months after the Luminexx stent implantation showed 90% ISR and a floating fractured stent in the Luminexx site. Furthermore, the floating fractured stent strut itself was completely separated and flowed toward the posterior tibial artery. The stent strut was removed by a catheter for removing intravascular foreign substances. < We report a case of a floating fractured stent 141 months after stent implantation in the superficial femoral artery (SFA). Although this case is rare, in endovascular therapy with stenting for SFA, it is necessary to consider the risk of stent fracture in the very late phase.>.

摘要

一名80岁男性因股浅动脉支架内再狭窄(ISR)病变接受了自膨胀支架(Luminexx,美国新泽西州默里山巴德公司)植入术。然而,Luminexx支架植入141个月后的血管造影显示,ISR为90%,且Luminexx部位有一个漂浮的断裂支架。此外,漂浮的断裂支架支柱本身完全分离并流向胫后动脉。通过用于清除血管内异物的导管取出了支架支柱。<我们报告了一例股浅动脉(SFA)支架植入141个月后出现漂浮断裂支架的病例。尽管这种情况罕见,但在SFA支架置入的血管内治疗中,有必要考虑极晚期支架断裂的风险。>

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