Conservative management of asymptomatic vertebral artery stent fracture with fragment embolisation to V3 segment: a case report.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1659557

Bin Hou, Chuangzhong Li, Yuan Cao, Xiaogang Wang, Dandan Gao, Ligang Chen

引用次数: 0

Abstract

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.

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无症状椎动脉支架骨折V3段碎片栓塞的保守治疗1例。

导言：支架骨折是一种公认但罕见的与椎动脉起源支架相关的并发症。方法：我们报告一位因眩晕和复视而被诊断为左椎动脉源性狭窄的男性患者，他使用了雷帕霉素洗脱支架。1年随访的计算机断层血管造影显示支架中部骨折伴远端碎片向V3节段迁移，但患者无症状，并在密切监测下进行医学治疗。结果：本病例说明雷帕霉素洗脱支架是治疗椎动脉起源狭窄的有效方法。讨论：在涉及支架完全骨折和远端碎片迁移的罕见病例中，保守治疗可能是无症状患者的可行选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.