Badero Olurotimi J, Adetiloye Adebola O, Osibowale Bamikole
Division of Cardio Nephrology, Cardiac Renal & Vascular Associates, Jackson, Mississippi, USA.
Department of Internal Medicine, New York City Health + Hospitals Corporation, Harlem, New York, USA.
JACC Case Rep. 2025 Aug 20;30(24):104680. doi: 10.1016/j.jaccas.2025.104680.
Peripheral arterial disease affects over 230 million people worldwide, presenting as intermittent claudication or critical limb ischemia. Endovascular revascularization, with self-expanding stents, has proven effective in treating iliac artery occlusions. However, rare complications like stent migration can occur. We report a rare case of common iliac artery stent migration across the aortic bifurcation.
A 64-year-old man with diabetes and hypertension was evaluated for ischemic rest pain. He underwent iliac artery stenting and later developed worsening leg pain. Angiography revealed stent migration across the aortic bifurcation eventually managed percutaneously.
Stent migration while rare has been reported in the venous system, but reports of retrograde arterial stent migration are very rare. This case offers valuable insights into endovascular management of complex complications of iliac artery stenting while avoiding surgical intervention.
TAKE-HOME MESSAGES: Retrograde arterial stent migration, while rare, can be managed percutaneously. Adequate vessel preparation with intravascular imaging is crucial for prevention.
外周动脉疾病影响着全球超过2.3亿人，表现为间歇性跛行或严重肢体缺血。血管内再血管化治疗，使用自膨式支架，已被证明对治疗髂动脉闭塞有效。然而，可能会发生诸如支架移位等罕见并发症。我们报告一例罕见的髂总动脉支架跨越主动脉分叉移位的病例。
一名64岁患有糖尿病和高血压的男性因静息性缺血性疼痛接受评估。他接受了髂动脉支架置入术，后来腿痛加重。血管造影显示支架跨越主动脉分叉移位，最终通过经皮方式处理。
支架移位虽然罕见，但在静脉系统中已有报道，而逆行性动脉支架移位的报道非常罕见。该病例为髂动脉支架置入复杂并发症的血管内处理提供了宝贵的见解，同时避免了手术干预。
逆行性动脉支架移位虽然罕见，但可通过经皮方式处理。使用血管内成像进行充分的血管准备对于预防至关重要。
