Completely Percutaneous Retrieval of a Large Migrated Iliac Venous Stent

Abstract

This case report entails the percutaneous retrieval of a large iliac venous stent which migrated to the right atrium after placement. In select patients, a through-and-through wire technique in combination with balloon-mounted snares can facilitate safe and effective percutaneous stent retrieval.

Clinical Impact

Migration of a large venous stent to the heart can be a challenging problem to manage. While open surgical retrieval is an effective management option, it also confers significant morbidity. Percutaneous techiques have evolved to faciliate minimally-invasive stent retrieval in select patients. This case report presents a unique approach to percutaneous retrieval in its utilization of a through-and-through wire and balloon-mounted snares.