Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis

Kang, Wook; Kim, Il Soo; Kim, Ji Ung; Cheon, Ji Hyun; Kim, Seon Kwang; Ko, Sung Hyun; Kim, Su Hong; Lee, Sea Won; Cho, Sung Ho

doi:10.4250/jcu.2011.19.4.203

Cited by 18 publications

(20 citation statements)

References 18 publications

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“…4 Surgical retrieval of migrated venous stents in the right ventricle has been described. 5 However, cardiac surgery in patients with end-stage renal disease has been associated with high morbidity rates. One case of a minimally invasive right thoracotomy approach has been described to retrieve a migrated stent from the right atrium in a patient with prior cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Robotic Retrieval of a Migrated Subclavian Vein Stent from the Right Ventricle

Miller

Ramaprabhu

Ahmed

et al. 2021

Innovations�(Phila)

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A 54-year-old woman with end-stage renal disease on hemodialysis with access through a right arm arteriovenous fistula presented with right arm swelling. Venography demonstrated right subclavian vein stenosis. A balloon angioplasty of the stenotic vein was unsuccessful, and she subsequently underwent stent placement with balloon angioplasty. Ten days following the procedure, she developed acute shortness of breath. Transthoracic echocardiogram demonstrated the migration of the venous stent into the right ventricle. Using an endoscopic robotic approach, the stent was successfully extracted from the beating heart.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Robotic Retrieval of a Migrated Subclavian Vein Stent from the Right Ventricle

Miller

Ramaprabhu

Ahmed

et al. 2021

Innovations�(Phila)

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“…In addition, migration of the stent into the right atrium or pulmonary artery trunk is a serious complication that sometimes requires open heart surgery. 16) Selection of a stent with sufficient diameter to prevent the stent from falling downstream and placement of the stent at a sufficient length upstream of the lesion to anchor it are necessary. 12) Regarding the type of stent, balloon-expanded stents cannot cope with changes in venous diameter due to changes in venous flow.…”

Section: Discussionmentioning

confidence: 99%

Results of Stenting for Central Venous Occlusions and Stenoses in the Hemodialysis Patients

Eguchi

Honma

2020

Annals of Vascular Diseases

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Objectives: We aim to investigate the results of stenting for central venous occlusions and stenoses in the hemodialysis patients. Methods: Twenty-nine cases treated with endovascular recanalization with deployment of bare metal stent (BMS) for central venous occlusions (24 cases) and recurrent stenoses (5 cases) between 2014 and 2018 were retrospectively analyzed. Results of these procedures including success rate, operative time, estimated blood loss, morbidity, primary patency, assisted primary patency and freedom from targetlesion revascularization (TLR) were evaluated. Results: Nine lesions were in brachiocephalic vein (Occlusion/Stenosis: 8/1) and 20 lesions were in subclavian vein (Occlusion/Stenosis: 16/4). Procedural success was 94% (29/31 cases) and operation time/estimated blood loss was 68±39 min/28±54 g. Symptom were relieved or disappeared in all successful cases. Morbidity (extravasation of contrast medium) was 3% (1/29). During the period of observation, 1 stent fracture with occlusion and 1 stent migration to periphery were recognized. 1-year primary patency, freedom from TLR, and assisted primary patency were 40% (median patent time: 256 days), 67% (median patent time: 524 days), and 77%, respectively. Conclusion: Stenting for central venous occlusions and stenoses in the hemodialysis patients is safe and durable treatment option. However, considering its off-label use and potential hazard including vessel rupture, stent migration, and stent fracture, the indication for BMS deployment should be conservative, and interventionist should be well acquainted with prevention and measures to these complications.

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“…15-18 Migration of these stents further proximally into the heart is similar in nature to the more commonly reported migration of an inferior vena cava filter or an upper extremity venous stent placed in dialysis access patients; it is a rare event but can be a life-threatening one. 19-22…”

Section: Discussionmentioning

confidence: 99%

Incidental Findings in Stress Echocardiography

Kallstrom

Rivera

Hukill

2014

Journal of Diagnostic Medical Sonography

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Sonographic follow-up of surgical or other invasive procedures may lead to incidental findings, and knowledge of a patient’s treatment history is an important factor in properly interpreting these results. The treatment regimen for a patient with deep vein thrombosis and its sequelae can include a combination of anticoagulation, thrombolytic therapy, compression stocking, venous bypass, and stenting of the veins. This case presents an incidental finding during a stress echo examination of embolization into the right ventricle of a previously placed iliofemoral venous stent that required surgical removal. It provides an example of the reasons that sonographers need to understand patient history as well as examination protocols to properly evaluate the sonographic images and to anticipate that there may be unexpected findings with every case.

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Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis

Cited by 18 publications

References 18 publications

Endoscopic Robotic Retrieval of a Migrated Subclavian Vein Stent from the Right Ventricle

Endoscopic Robotic Retrieval of a Migrated Subclavian Vein Stent from the Right Ventricle

Results of Stenting for Central Venous Occlusions and Stenoses in the Hemodialysis Patients

Incidental Findings in Stress Echocardiography

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