Frontiers in surgery · 2025
Conservative management of asymptomatic vertebral artery stent fracture with fragment embolisation to V3 segment: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Hou Bin, Li Chuangzhong, Cao Yuan, Wang Xiaogang, Gao Dandan, Chen Ligang
Аннотация
INTRODUCTION: Stent fracture represents a recognised but rare complication tied to vertebral artery origin stenting.
METHODS: We present a male who was diagnosed with left vertebral artery origin stenosis due to vertigo and diplopia, and who was deployed with a rapamycin-eluting stent. One-year follow-up computed tomography angiography demonstrated mid-stent fracture with distal fragment migration into the V3 segment, but the patient was asymptomatic and managed medically with close surveillance.
RESULTS: This case elucidates that rapamycin-eluting stents are an effective treatment for stenosis at the vertebral artery origin.
DISCUSSIONS: In rare instances involving complete stent fracture and migration of distal debris, conservative management may be a feasible option for asymptomatic patients.
METHODS: We present a male who was diagnosed with left vertebral artery origin stenosis due to vertigo and diplopia, and who was deployed with a rapamycin-eluting stent. One-year follow-up computed tomography angiography demonstrated mid-stent fracture with distal fragment migration into the V3 segment, but the patient was asymptomatic and managed medically with close surveillance.
RESULTS: This case elucidates that rapamycin-eluting stents are an effective treatment for stenosis at the vertebral artery origin.
DISCUSSIONS: In rare instances involving complete stent fracture and migration of distal debris, conservative management may be a feasible option for asymptomatic patients.