Top

Cardiovascular Intervention and Therapeutics

Published in:

01-01-2014 | Case Report

The breakage of a drug-eluting stent delivery system leading to limb amputation

Authors: Keisuke Fukuda, Akihiro Higashimori, Masahiko Fujihara, Yoshiaki Yokoi

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2014

Abstract

A 68-year-old female with total occlusion of the bare metal stent in the left superficial femoral artery was treated by placement of three drug-eluting stents (DESs). Acute thrombosis developed on the next day. Thrombosis in the left popliteal artery to anterior tibial artery was found. An additional stent was placed in the popliteal artery. Rethrombosis was observed. The left leg could not be salvaged. Examination of the amputated limb revealed broken DES delivery system below the knee vessel. This was an unusual case of breakage of a DES delivery system that led to major amputation.

Bates MC, Campbell JR, Campbell JE. Late complication of stent fragmentation related to the “lever-arm effect”. J Endovasc Ther. 2008;15:224–30.PubMedCrossRef

Schlager O, Dick P, Sabeti S, Amighi J, Mlekusch W, Minar E, et al. Long-segment SFA stenting-the dark sides: in-stent restenosis, clinical deterioration, and stent fractures. J Endovasc Ther. 2005;12:676–84.PubMedCrossRef

Müller-Hülsbeck S, Schäfer PJ, Charalambous N, Yagi H, Heller M, Jahnke T. Comparison of second-generation stents for application in the superficial femoral artery: an in vitro evaluation focusing on stent design. J Endovasc Ther. 2010;17:767–76.PubMedCrossRef

Schillinger M, Minar E. Past, present and future of femoropopliteal stenting. J Endovasc Ther. 2009;16(Suppl 1):I147–52.PubMed

Mewissen MW. Primary nitinol stenting for femoropopliteal disease. J Endovasc Ther. 2009;16 (2 Suppl 2):II63–81.

Schillinger M, Diehm N, Baumgartner I, Minar E. TASC II section F on revascularization: commentary from an interventionist’s point of view. J Endovasc Ther. 2007;14:734–42.PubMedCrossRef

Dake MD, Ansel GM, Jaff MR, Ohki T, Saxon RR, Smouse HB, et al. Paclitaxel-eluting stents show superiority to balloon angioplasty and bare metal stents in femoropopliteal disease: twelve-month Zilver PTX randomized study results. Circ Cardiovasc Interv. 2011;4:495–504.PubMedCrossRef

Dake MD, Scheinert D, Tepe G, Tessarek J, Fanelli F, Bosiers M, et al. Nitinol stents with polymer-free paclitaxel coating for lesions in the superficial femoral and popliteal arteries above the knee: twelve-month safety and effectiveness results from the Zilver PTX single-arm clinical study. J Endovasc Ther. 2011;18:613–23.PubMedCrossRef

Kharge J, Sreekumar P, Swamy K, Bharatha A, Ramegowda RT, Nanjappa MC. Balloon-assisted retrieval of a broken stent-delivery system. Tex Heart Inst J. 2012;39:644–6.PubMedCentralPubMed

10.

Ishihara T, Iida O, Okamoto S, Dohi T, Sato K, Nanto K, et al. Successful outside-the-stent stenting for in-stent chronic total occlusion in the common iliac artery. Cardiovasc Interv Ther. 2012;27(2):131–6.PubMedCrossRef

11.

Yota K, Yoshihiro M, Masakazu N, Takashi M, Naoki M, Yuji I. Impact of chronic kidney disease on clinical and angiographic results following implantation of sirolimus-eluting coronary stents. Cardiovasc Interv Ther. 2011;26(1):18–25.CrossRef

12.

Gahlen J, Koeppel T, Prosst RL. Vascular occlusion by ruptured balloon after percutaneous transluminal angioplasty. J Endovasc Ther. 2003;10:1117–9.PubMedCrossRef

13.

Wani SP, Rha SW, Park JY, Poddar KL, Wang L, Ramasamy S, et al. A novel technique for retrieval of a drug-eluting stent after catheter break and stent loss. Korean Circ J. 2010;40:405–9.PubMedCentralPubMedCrossRef

Title: The breakage of a drug-eluting stent delivery system leading to limb amputation
Authors: Keisuke Fukuda
Akihiro Higashimori
Masahiko Fujihara
Yoshiaki Yokoi
Publication date: 01-01-2014
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2014
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-013-0190-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The breakage of a drug-eluting stent delivery system leading to limb amputation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2014

Imaging or trusting on surface anatomy? A comparison between fluoroscopic guidance and anatomic landmarks for femoral artery access in diagnostic cardiac catheterization. A randomized control trial

Two-year outcome of the self-expandable stent for chronic total occlusion of the iliac artery

Patient access to medical devices—what about Japan, the second largest medical device market?

Catheter closure of patent foramen ovale in patients with cryptogenic cerebrovascular accidents: initial experiences in Japan

Potential cause of delayed strokes following carotid artery stenting

Successful percutaneous thrombectomy in an elderly patient with massive pulmonary embolism with cardiogenic shock