Endovascular Stent Migration to the Right Ventricle Causing Myocardial Injury
Autor: | Liwei Huang, Barry M. Wall, Samer Bani-Hani, Ahmed I. Al-Absi, Arif Showkat, Prnab Das |
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Rok vydání: | 2012 |
Předmět: |
medicine.medical_specialty
business.industry Pulmonary Infarction medicine.medical_treatment Stent Regurgitation (circulation) equipment and supplies medicine.disease Thrombosis End stage renal disease Surgery Stenosis surgical procedures operative Nephrology Angioplasty Internal medicine cardiovascular system Cardiology Medicine cardiovascular diseases business Subclavian vein |
Zdroj: | Seminars in Dialysis. 25:562-564 |
ISSN: | 0894-0959 |
Popis: | Central stenosis of the subclavian and internal jugular veins is common in end stage renal disease. Treatment of these stenoses is difficult as these veins respond poorly to angioplasty alone and often require metallic stents to ensure patency. These stents are not without complications. Reports of stent fracture, thrombosis and vessel rupture abound in the literature. Stent migration can occur when used in large central veins leading to severe consequences such as pulmonary infarction, tricuspid regurgitation and right sided heart failure. In this report, we report a case of a subclavian vein stent which migrated into the right heart and caused subendocardial injury. As the use of vascular stents is becoming a common treatment option for central venous stenosis, the occurrences of serious complications associated with the stents are likely to rise. |
Databáze: | OpenAIRE |
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