Migration of covered stents in thoracic central vein obstruction procedures in patients with hemodialysis: Case report and literature review

作者全名："Chen, Bo; Lai, Qiquan; Fedally, Swalay; Wan, Ziming"

作者地址："[Chen, Bo] Chongqing Med Univ, Affiliated Hosp 1, Dept Ultrasonog, Chongqing, Peoples R China; [Lai, Qiquan; Wan, Ziming] Chongqing Med Univ, Affiliated Hosp 1, Dept Nephrol, Chongqing, Peoples R China; [Fedally, Swalay] SSRN Hosp, Dept Nephrol, Mauritius, Mauritius"

通信作者："Wan, ZM (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Nephrol, Chongqing, Peoples R China."

来源：FRONTIERS IN CARDIOVASCULAR MEDICINE

ESI学科分类：　

WOS号：WOS:000838451700001

JCR分区：Q2

影响因子：3.6

年份：2022

卷号：9

期号：　

开始页：　

结束页：　

文献类型：Review

关键词：stent displacement; stent migration; hemodialysis; literature review; thoracic central vein obstruction

摘要："Objective: The objective of the study is to present a case of hemodialysis in which the covered stent that had migrated into the right ventricle was retrieved by exploratory thoracotomy, and to review the literature on the diagnosis and treatment of stent migration in thoracic central vein obstruction (TCVO) procedures for hemodialysis patients. Method: A systematic search of the PubMed database was performed to identify clinical presentations, imaging strategies, stent types, and treatment modalities for stent migration in hemodialysis patients. Results: A total of 14 case reports on stent migration in TCVO procedures for hemodialysis patients were included and analyzed. Ten cases included migration to the cardiac chambers and the remainder migration to the pulmonary artery. The common symptoms of stent migration in TCVO procedures are reported to be chest pain and dyspnea, while three of the cases studied involved no symptoms. Echocardiography, chest X-ray, and computed tomography are the commonly used methods for the diagnosis of stent migration and identification of the precise positioning of the stent. Stent migration to the right subclavian or innominate veins was the most prevalent case (seven cases). All were bare stents. Seven cases involved retrieval by interventional surgery, while four cases involved retrieval by open heart surgery. However, there were three cases in which the ""wait-and-see "" approach was adopted since the patients were asymptomatic. Conclusions: Stent migration in TCVO procedures is a rare but extremely serious complication. The causes are not fully understood. The current treatment strategies include interventional surgery, open heart surgery, and the ""wait-and-see "" approach."

基金机构：Science-Health Joint Medical Research Project of Chongqing; [2020FYYX064]

基金资助正文：This work was supported by Science-Health Joint Medical Research Project of Chongqing (Number: 2020FYYX064).