Subclavian Vein Stent Fracture and Venous Motion

Alexandros Mallios; Kevin Taubman; Paul Claiborne; John Blebea

doi:10.1016/j.avsg.2015.04.064

Subclavian Vein Stent Fracture and Venous Motion

Alexandros Mallios, Kevin Taubman, Paul Claiborne, John Blebea

CMU Medical Education Partners

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10 Scopus citations

Abstract

Primary subclavian vein stents are not recommended for venous thoracic outlet syndrome before surgical decompression by first rib resection due to a high risk of fracture because they are compressed between the clavicle and first rib. After rib removal, however, stent insertion has been advocated for venous restenosis, and it is felt that stent fracture is unlikely to occur. We present a case suggesting that repetitive differential vein movement during respiration may be one of the causative factors for stent fractures occurring in this anatomic region.

Original language	English
Pages (from-to)	1451.e1-1451.e4
Journal	Annals of Vascular Surgery
Volume	29
Issue number	7
DOIs	https://doi.org/10.1016/j.avsg.2015.04.064
State	Published - Oct 1 2015

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abstract = "Primary subclavian vein stents are not recommended for venous thoracic outlet syndrome before surgical decompression by first rib resection due to a high risk of fracture because they are compressed between the clavicle and first rib. After rib removal, however, stent insertion has been advocated for venous restenosis, and it is felt that stent fracture is unlikely to occur. We present a case suggesting that repetitive differential vein movement during respiration may be one of the causative factors for stent fractures occurring in this anatomic region.",

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AU - Mallios, Alexandros

AU - Taubman, Kevin

AU - Claiborne, Paul

AU - Blebea, John

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N2 - Primary subclavian vein stents are not recommended for venous thoracic outlet syndrome before surgical decompression by first rib resection due to a high risk of fracture because they are compressed between the clavicle and first rib. After rib removal, however, stent insertion has been advocated for venous restenosis, and it is felt that stent fracture is unlikely to occur. We present a case suggesting that repetitive differential vein movement during respiration may be one of the causative factors for stent fractures occurring in this anatomic region.

AB - Primary subclavian vein stents are not recommended for venous thoracic outlet syndrome before surgical decompression by first rib resection due to a high risk of fracture because they are compressed between the clavicle and first rib. After rib removal, however, stent insertion has been advocated for venous restenosis, and it is felt that stent fracture is unlikely to occur. We present a case suggesting that repetitive differential vein movement during respiration may be one of the causative factors for stent fractures occurring in this anatomic region.

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Subclavian Vein Stent Fracture and Venous Motion

Abstract

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