The Teaching Point

This case illustrates that knowledge of stent design, mechanical properties and size is crucial for selecting the appropriate stent for a particular vessel and lesion type. An inappropriate choice may have repercussions even many years later. In the event stent fracture and/or vessel wall perforation is detected on follow up, active search for evidence of injury to adjacent structures, particular arterial, should be routine.






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From the manuscript

Delayed subclavian vein stent perforation causing adjacent arterial pseudoaneurysm formation in a patient with granulomatosis with polyangiitis

Free full text article: Delayed subclavian vein stent perforation causing adjacent arterial pseudoaneurysm formation in a patient with granulomatosis with polyangiitis

Abstract
Stenting is necessary when vascular patency is not adequately achieved with angioplasty alone. Common causes of pseudoaneurysms are iatrogenic and traumatic. We describe a case of a perforated left subclavian vein Gianturco stent causing a pseudoaneurysm of the left common carotid artery in a patient with granulomatosis with polyangiitis, detected 8 years after stent insertion.






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1. Subclavian vein stenosis

2. Gianturco stent

3. perforation

4. pseudoaneurysm

5. granulomatosis with polyangiitis


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