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- W3201991045 abstract "A 59-year-old woman with a brachiocephalic fistula underwent balloon dilation of a stenosis to 5-mm diameter (Fig 1) and subsequent 5-mm × 5-cm stent graft placement (VIABAHN, Gore, Flagstaff, Arizona) (Fig 1). An attempt was made to postdilate the stent graft to 6 mm. Three months later, fistulography for recurrent dysfunction revealed disappearance of the stent graft. Fluoroscopy and contrast-enhanced computed tomography scan showed that the stent graft had migrated to a right lower lobe pulmonary artery branch and remained patent (Fig 2a, b). The patient had no pulmonary symptoms; a multidisciplinary board elected to leave the stent in situ and to start anticoagulation. At the 1-year follow-up, the stent graft remained patent with no complications. The 5-mm stent graft was clearly undersized; however, the VIABAHNs cannot be overexpanded. In retrospect, the placement of a second larger stent overlapping with the VIABAHN could have anchored the stent graft and prevented its migration. Figure 2(a, b) Contrast-enhanced computed tomography (coronal and sagittal maximum intensity projection reconstructions) at 3 months: stent graft migration and implantation (red arrows) into an inferior branch of the right pulmonary artery with preserved patency. View Large Image Figure Viewer Download Hi-res image" @default.
- W3201991045 created "2021-10-11" @default.
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- W3201991045 date "2021-10-01" @default.
- W3201991045 modified "2023-09-23" @default.
- W3201991045 title "Stent Migration: Dangerous Flight but Safe Landing" @default.
- W3201991045 doi "https://doi.org/10.1016/j.jvir.2021.07.015" @default.
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