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Bilateral common iliac vein stent migration

Andrew Waack1, Sarah Jaggernauth1, Shikha Sharma2

  • 1University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave, Toledo, OH 43614, USA.

Radiology Case Reports
|September 22, 2022
PubMed

Insights

Venous stent migration, a rare complication, is likely more common than believed. Physicians should consider migrated iliac vein stents in the heart as a potential diagnosis.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Venous stent placement is a common procedure for treating venous occlusive disease.
  • Stent migration to the heart is a recognized but infrequently reported complication.
  • Current diagnostic considerations often overlook this potential adverse event.

Observation:

  • A case of bilateral iliac vein stent migration into the right ventricular outflow tract and right interlobar pulmonary artery is presented.
  • Multiple imaging modalities were utilized to visualize the migrated stents.
  • The migration pathway highlights potential risks associated with iliac vein stenting.

Findings:

  • The migrated stents were located in critical cardiovascular and pulmonary locations.
  • Imaging confirmed the extent and position of the misplaced stents.
  • This case underscores the possibility of significant stent displacement.

Implications:

  • Radiologists and clinicians should increase awareness of venous stent migration.
  • Consideration of stent migration in the differential diagnosis is crucial for timely intervention.
  • Recognizing this complication can prevent delayed diagnosis and improve patient outcomes in venous interventions.

Keywords:
Iliac veinMay-Thurner SyndromeStent migration

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