Pokhriyal Sindhu C, Tun Myo Myint, Kaphle Bastola Ambika Devi, Htet Shwe Yee, Nagpal Sagar
Internal Medicine, One Brooklyn Health, New York, USA.
Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, NPL.
Cureus. 2023 Jun 12;15(6):e40310. doi: 10.7759/cureus.40310. eCollection 2023 Jun.
In the past decade, percutaneous endovenous stenting has emerged as the primary procedure for treating symptomatic venous outflow obstruction. Stent migration is a rare but serious and well-recognized complication of venous stenting. Cardiopulmonary complications following stent migration can manifest in a number of ways, including damage to the valves, arrhythmias, endocarditis, tamponade, and acute heart failure. Both extracardiac and intracardiac dislodgement of stents may be treated with catheter-directed extraction, stent redeployment, or surgical extraction. The decision on the type of procedure depends on multiple factors including the location of the stent, the size and accessibility of the stent, the symptoms, the extent of damage to the vital structures, and the overall health of the patient. We present the case of a 68-year-old male who presented with tachycardia. On further evaluation and workup, he was found to have an iliac venous stent that had migrated to the right atrium.
在过去十年中，经皮腔内静脉支架置入术已成为治疗有症状的静脉流出道梗阻的主要方法。支架移位是静脉支架置入术一种罕见但严重且已被充分认识的并发症。支架移位后的心肺并发症可表现为多种形式，包括瓣膜损伤、心律失常、心内膜炎、心包填塞和急性心力衰竭。心脏外和心脏内的支架移位均可通过导管引导下取出、支架重新置入或手术取出进行治疗。手术方式的选择取决于多种因素，包括支架的位置、支架的大小和可及性、症状、重要结构的损伤程度以及患者的整体健康状况。我们报告一例68岁男性患者，该患者表现为心动过速。经过进一步评估和检查，发现他的髂静脉支架已移位至右心房。
