Bouziane Zakariyae, Malikov Sergueï, Bracard Serge, Fouilhé Laurent, Berger Ludovic, Settembre Nicla
Department of Vascular Surgery, Nancy University Hospital, University of Lorraine, Nancy, France.
Department of Vascular Surgery, Nancy University Hospital, University of Lorraine, Nancy, France; Inserm Unit 1116, University of Lorraine, Nancy, France.
Ann Vasc Surg. 2019 Aug;59:313.e11-313.e17. doi: 10.1016/j.avsg.2019.01.029. Epub 2019 Apr 19.
Percutaneous angioplasty and stenting is nowadays the treatment of choice for atherosclerotic stenotic lesions of the supraaortic trunks. Stent migration is a seldom published complication that can alter the short-term results of these procedures. Herein, we report three cases, from three different institutions, of secondary autoexpandable stent migration, after endovascular treatment of major arch vessel stenosis, and their subsequent endovascular management using three different retrieval techniques. Technical success was achieved in all cases. There were no immediate complications related to the retrieval of the migrated stents. A late complication of iliac thrombosis required complementary surgical intervention. Percutaneous retrieval of migrated self-expanding stents is feasible and can be effectively performed with few complications as a first-line option.
经皮血管成形术和支架置入术如今是治疗主动脉弓上干动脉粥样硬化性狭窄病变的首选方法。支架移位是一种很少被报道的并发症，它可能会改变这些手术的短期效果。在此，我们报告来自三个不同机构的三例病例，均为在对主动脉弓主要血管狭窄进行血管内治疗后发生的继发性自膨式支架移位，以及随后使用三种不同回收技术进行的血管内处理。所有病例均取得技术成功。在回收移位支架过程中未出现直接并发症。髂静脉血栓形成这一晚期并发症需要辅助手术干预。经皮回收移位的自膨式支架是可行的，作为一线选择可有效实施且并发症较少。
