Stent fracture as a complication of superficial femoral artery stenting – a case report

Tkaczyk Jędrzej, Terpiłowski Michał, Brożyna Klaudia, Baltaziak Katarzyna, Klatka Barbara, Kęsik Jan, Iłżecki Marek. Stent fracture as a complication of superficial femoral artery stenting – a case report. Journal of Education, Health and Sport. 2019;9(4):293-300. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2637230 http://ojs.ukw.edu.pl/index.php/johs/article/view/6807 https://pbn.nauka.gov.pl/sedno-webapp/works/910865 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 28.03.2019. Revised: 30.03.2019. Accepted: 12.04.2019. Stent fracture as a complication of superficial femoral artery stenting – a case report Jędrzej Tkaczyk1, Michał Terpiłowski1, Klaudia Brożyna1, Katarzyna Baltaziak1, Barbara Klatka1, Jan Kęsik2, Marek Iłżecki2 1 Student’s scientific group at the Department of Vascular Surgery and Angiology, Medical University of Lublin 2 Department of Vascular Surgery and Angiology, Medical University of Lublin Corresponding author: Jędrzej Tkaczyk, jedrzej.tkaczyk@gmail.com Key words: stent fracture, superficial femoral artery stenting, vascular surgery Abstract Introduction: Peripheral artery disease (PAD) is an atherosclerotic vascular disease that results in obstruction of blood flow in the arteries other than those in the coronary circulation. PAD is often located in lower extremities, with patients presenting symptoms of intermittent claudication or critical lower limb ischemia. Angioplasty and stent implantation are often used in the treatment of PAD. Although these methods are considered as a low invasive and low risk, some factors may limit stent patency in the future. The fracture of the implanted stent may be one of these. Case report: A 68 old man, long-term smoker, with a history of chronic limb ischemia and many vascular surgeries because of PAD was admitted to the hospital with symptoms of the acute limb ischemia. Angiography showed a fracture of the stent implanted during the earlier hospitalization, with a fragment displacement to the left external iliac artery. The patient was successfully treated with catheter-directed thrombolysis. Discussion: Stent fracture is usually asymptomatic, however, it may cause complications, such as restenosis, pseudoaneurysm, perforation of the vessel, and in-stent embolism. The cumulative incidence of the femoropopliteal stent fracture varies from 2 to 65% in several studies. Incidence increases with stent length and is significantly lower in the second generation of nitinol stents, that was designed to have enhanced flexibility and durability