CASE REPORT
Disintegration of a Balloon-Expandable Stent in the Iliac
Artery Upon Delivery
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1
Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Radiology,
Kahramanmaras, Turkey
2
Hacettepe University, Faculty of Medicine, Department
of Radiology Sihhiye, Ankara, Turkey
3
Ankara Ataturk Training and Research Hospital, Department of Radiology, 06800 Bilkent, Ankara, Turkey
4
Sincan State Hospital, Radiology
Clinic, Sincan, Ankara, Turkey
Publication date: 2013-01-09
Corresponding author
Fuat Ozkan
Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Radiology
46050 Yörükselim mah. Hastane cad. No:32, Kahramanmaras, Turkey
Eur J Gen Med 2013;10(Supplement 1):90-93
KEYWORDS
ABSTRACT
Although there are still some controversies on the choice of ideal stent as well as balloon-expandable versus self-expanding
stents for aorto-iliac disease; iliac stenting is widely accepted procedure for focal atherosclerotic iliac artery stenosis. Herein, we
present an unusual unilateral iliac stenting complication caused by disintegration struts of balloon-expandable stent which was
successfully handled by means of kissing stents. 62-year-old woman presented with complaints of severe claudication of the right
lower extremity. Short segment stenosis of the proximal right common iliac artery was detected. Balloon-expandable stent was
deployed and stent delivery catheter was then exchanged uneventfully for the pigtail catheter followed by a control arteriogram
which demonstrated the fractured and elongated stent into the distal aorta centrally. Then, two self-expandable nitinol stents
were deployed in bilateral common iliac artery in order to compress the fractured stent struts against the aortic wall. Control arteriogram
was obtained showing excellent result with no residual stenosis. However, stent fractures involving balloon-expandable
stents in the iliac arteries are extremely rare, this unusual stent fracture type should be considered before implantation of a
stent in the iliac artery.