Carotid stent fracture with recurrent high-grade stenosis

Stent fracture is a rare complication after carotid angioplasty and stenting. Patient anatomy, stent design, and external forces may all be contributing risk factors. Treatment options include continued observation or reintervention by both endovascular and open techniques since patients are typically asymptomatic. We present a case of a 66-year-old male with carotid stent fracture who developed recurrent, high-grade, asymptomatic carotid artery stenosis that was treated with repeat carotid angioplasty and stenting.