Table 1: Reports of vascular stent migration to the pulmonary circulation.
Surgical or Percutaneous Management |
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Author |
Age/Sex |
Medical Hx |
Original stent location |
Embolization site |
Management |
Outcome |
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Saeed et al. [17] |
54F |
Budd-Chiari syndrome |
IVC |
Left PA |
Percutaneous removal |
Further follow-up and complications not specified |
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Grosso et al. [18] |
66F |
Diabetes mellitus |
R hepatic vein and R branch of the portal vein |
Left PA |
Percutaneous removal |
3 month follow-up, expired due to chronic renal insufficiency |
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Slonim et al. [6] patient 1
patient 2 |
46M
25M |
SVC
Unspecified upper extremity |
Left PA
Right PA |
Repositioned with balloon to EIV
Repositioned with balloon to EIV |
Further follow-up and complications not specified |
|
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Rumi et al. [15] |
52M |
ESRD, Cirrhosis |
Hepatic vein |
Left PA |
Percutaneous removal |
7 month follow-up, no complications |
|
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Ashar et al. [19] |
32M |
Trauma, h/o repeated leg swelling |
R iliac vein |
Right PA and RV |
Percutaneous removal |
Further follow-up and complications not specified |
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Chiu et al. [14] |
82F |
ESRD |
SVC |
Right PA |
Attempted percutaneous removal |
1 year follow-up, no complications |
|
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Ho et al. [20] |
61M |
ESRD |
L brachial-to-basilic AV loop |
Left main PA |
Median sternotomy, left pulmonary artery incision |
Discharged on post-operative day 2, no complications |
|
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Dashkoff et al. [13] patient 1
patient 2 |
33M
46F |
ESRD 2/2 IgA nephropathy
ESRD 2/2 HUS |
Right basilic vein
Right femoral vein |
Right LL PA
Right LL PA |
Percutaneous removal
Warfarin, dose/duration not specified |
Further follow-up and complications not specified
Further follow-up and complications not specified |
|
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Anand et al. [9] |
56M |
NSCLC |
SVC |
Left LL PA |
Attempted percutaneous removal; ½ remained in R common femoral vein |
Expired 3 days after procedure due to respiratory failure |
|
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Cabestrero et al. [21] |
24M |
Left pulmonary ostial stenosis |
L pulmonary artery branch |
Lobar branch distal right PA |
Arteriotomy |
Further follow-up and complications not specified |
|
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Plones et al. [10] |
64F |
Lung cancer, type unspecified |
L bronchial branch |
Left PA |
Palliative pneumonectomy |
Expired intraoperatively due to uncontrollable bleeding |
|
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Balasubramaniyam et al. [22] |
44F |
ESRD |
RLE |
Right atrium, Left PA |
Initial conservative management, dose/duration not specified; later not specified elective surgical removal |
Further follow-up and complications not specified |
|
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Dwivedi et al. [23] |
53F |
ESRD |
LUE AV Graft |
Left PA |
Percutaneous removal |
2-year follow-up, no complications |
|
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Conservative Management |
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Marcy et al. [12] |
61F |
Stage IV breast cancer |
L innominate vein |
Right PA |
“Long-term anti-vitamin K therapy,” dose/duration not specified |
9-month follow-up, expired due to metastatic breast cancer |
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Sharma et al. [24] |
70M |
ESRD |
R subclavian vein |
Right PA |
No intervention |
7-year follow-up, expired due to UTI-related septicemia |
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Linda et al. [25] |
47F |
SCLC |
SVC |
Left PA |
No intervention |
3-month follow-up, expired due to respiratory failure |
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Kakisis et al. [11] |
83M |
ESRD |
L brachiocephalic vein |
Right LL PA |
Clopidogrel, dose/duration not specified |
4-year follow-up, expired due to old age |
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Fernandez-Juarez et al. [26] |
57M |
Adult Polycystic Kidney Disease |
Left radiocephalic AVF |
Right Lung |
No intervention |
Further follow-up and complications not specified |
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Gabelmann et al. [27]
patient 1
patient 2
patient 3 |
57M
44M
52F |
Liver disease
Liver disease Liver disease |
TIPS
TIPS
TIPS |
Right LL PA
Left LL PA
Right LL PA |
Not specified
Not specified
Not specified |
42 month mean follow-up among these 3 patients, no complications |
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Sy [28] |
54F |
ESRD |
Unspecified peripheral AVF |
Right LL PA |
No intervention |
4 month follow-up, symptomatic improvement |
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Goelitz et al. [16] |
48M |
Hepatocellular carcinoma |
IVC |
Right PA |
No intervention |
Further follow-up and complications not specified |
IVC: Inferior Vena Cava; PA: Pulmonary Artery: LL: Lower Lobe; AVF: Arteriovenous Fistula; TIPS: Transjugular Intrahepatic Portosystemic Shunt; ESRD: End Stage Renal Disease; RV: Right Ventricle.