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Crushed stents in benign left brachiocephalic vein stenoses

Published byMervyn Nicholas Higgins Modified over 5 years ago

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Presentation on theme: "Crushed stents in benign left brachiocephalic vein stenoses"— Presentation transcript:

1 Crushed stents in benign left brachiocephalic vein stenoses
Frank Hammer, MD, Dominique Becker, MD, Pierre Goffette, MD, Pierre Mathurin, MD  Journal of Vascular Surgery  Volume 32, Issue 2, Pages (August 2000) DOI: /mva Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Woman aged 55 years receiving chronic hemodialysis had lateralized superior vena caval syndrome with diminished output of arteriovenous fistula. A, Preangioplasty fistulography shows severe stenosis of left brachiocephalic vein (arrow) with marked development of collateral vessels. B, Venogram obtained after deployment of 12 × 50-mm balloon-expandable Palmaz stent (PS 564) demonstrates accurate positioning of stent. Stenotic segment has been completely covered, and there is minimal protrusion of stent into superior vena cava. Notice the nice hemodynamic result demonstrated by absence of filling of previously described collateral veins. C, At 2 months, obstructive symptoms recurred. Oblique fluoroscopic view shows Palmaz stent appearing severely crushed in its central portion (arrows). D, Sagittal reconstruction from non–contrast-enhanced spiral CT scan shows compressed stent located between manubrium and emerging right brachiocephalic artery and aortic arch (arrowheads). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Woman aged 35 years treated with 12 × 40-mm nitinol self-expandable stent (Sinus-Stent) 6 months previously presenting with recurrent arm swelling and development of superficial collateral arm and chest veins. A, Fistulography shows almost complete reocclusion of stented left brachiocephalic vein (open arrowheads) and collateralization, mainly through enlarged lateral thoracic and internal mammary vein. B, Axial CT scan shows compressed stent located between manubrium anteriorly (arrowheads) and aortic arch (*) posteriorly. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

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