Highlights
- •Stent migration is an uncommon complication of carotid artery stenting (CAS).
- •Shortening and migration of closed-cell stents has been reported after CAS.
- •Migration of open-cell stents is extremely rare after CAS.
- •We performed CAS for restenosis after endarterectomy for radiation-induced stenosis.
- •Proximal migration of a tapered-design open-cell stent was revealed after CAS.
Abstract
Objectives
Stent migration is an uncommon but serious complication of carotid artery stenting.
Shortening and migration of closed-cell stents after carotid artery stenting has been
reported, but migration of open-cell stents is extremely rare.
Materials and methods
Herein, we report a case of proximal migration of a tapered-design open-cell stent
after carotid artery stenting for restenosis following endarterectomy for radiation-induced
stenosis.
Results
A 70-year-old man with a history of radiation therapy for tongue cancer approximately
10 years earlier was diagnosed with transient ischemic attack owing to severe stenosis
of the right cervical internal carotid artery and was referred to our hospital. We
performed carotid endarterectomy with a patch graft; 6 months later, restenosis was
observed. Therefore, we performed carotid artery stenting with a self-expandable tapered-design
open-cell stent. On the second day after the procedure, asymptomatic downward migration
of the stent was detected. During the 3-year follow-up period after stent placement,
no restenosis or further stent migration was observed.
Conclusions
This report provides evidence that migration of implanted carotid stents can occur
even with an open-cell stents. In particular, to our knowledge, there are no reports
describing migration of tapered-design open-cell stents in the early postoperative
period.
Keywords
Abbreviation:
CAS (carotid artery stenting)To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Stroke and Cerebrovascular DiseasesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Shortening of Wallstent RP during carotid artery stenting requires appropriate stent placement.Neurol Med Chir (Tokyo). 2008; 48: 249-253https://doi.org/10.2176/nmc.48.249
- Stent migration as a late complication following carotid angioplasty and stenting.EuroIntervention. 2008; 4: 397-404https://doi.org/10.4244/eijv4i3a69
- Delayed Carotid Wallstent shortening resulting in restenosis following successful carotid artery angioplasty and stenting.J Korean Neurosurg Soc. 2009; 46: 495-497https://doi.org/10.3340/jkns.2009.46.5.495
- Downward migration of carotid stent on 8 months follow-up imaging: possible stent “watermelon-seeding” effect.J Neuroimaging. 2011; 21: 395-398https://doi.org/10.1111/j.1552-6569.2011.00586.x
- Bilateral migration of open-cell design carotid stents in the early post-procedure period: a rare complication.Interv Neuroradiol. 2014; 20: 761-765https://doi.org/10.15274/INR-2014-10067
Article info
Publication history
Published online: December 21, 2022
Accepted:
December 18,
2022
Received in revised form:
December 12,
2022
Received:
October 1,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106953
Copyright
© 2022 Elsevier Inc. All rights reserved.
