Unexpected Complication in an ESKD Patient during AVG Thrombectomy.

Abstract

A 64-year-old man, with a history of ESKD on hemodialysis, presented to an outside hospital for thrombectomy of a thrombosed, right-upper-extremity, arteriovenous graft. He underwent an endovascular thrombectomy, angioplasty, and expandable stent placement in the venous limb, which was complicated by fracturing of a stent and migration into the left main pulmonary artery. The patient was asymptomatic, hemodynamically stable, and was transferred for retrieval of the migrated stent. Computed tomography scanning of the chest showed a fractured vascular stent, 2.4 cm in length, within the left main pulmonary artery, extending into the descending limb (Figure 1, A and B). The migrated stent was …