case_images: PMC6319534_01
case_images: Post plasty fistulogram demonstrating "apparent recalcitrant" stenosis which predominantly spasm
case_images: 42155_2018_7_Fig1_HTML.jpg
case_images: PMC6319534_01_42155_2018_7_Fig1_HTML.jpg
case_images: Fig1
case_images: There was an "apparent" stenosis (Fig. 1) which was angioplastied then followed by severe spasm (Fig. 2). which was perceived by the operator to be recalcitrant stenosis. Gooseneck snare (ev3, Plymouth MN, USA) was manipulated until the stent was lassoed at about half way along the stent. Given the flexibility and potential collapsibility of the Viabahn stent it was over-sheathed carefully collapsing and gently retracting the captured stent to minimize potential vessel injury (Fig. 5a-c, Additional file 1).
case_images: a and b Immediate post stent deployment fistulogram demonstrating stent migration to cephalic arch
case_images: 42155_2018_7_Fig3_HTML.jpg
case_images: PMC6319534_01_42155_2018_7_Fig3_HTML.jpg
case_images: Fig3
case_images: Following stent deployment, the stent migrated and stopped at the confluence of the cephalic vein and the subclavian vein (Fig. 3).
case_images: a: Images on the day the patient was brought in for stent retrieval. b: Pulmonary Angiogram demonstrating the stent in a segmental pulmonary arterial branch
case_images: 42155_2018_7_Fig4_HTML.jpg
case_images: PMC6319534_01_42155_2018_7_Fig4_HTML.jpg
case_images: Fig4
case_images: Initial fluoroscopic image of the left shoulder region demonstrated the stent was absent from the final position documented the previous day indicating the stent had migrated further (Fig. 4a). Fluoroscopic scanning of the chest identified the stent to overlie the left lower lobe (Fig. 4a).
case_images: a and b: Demonstrates the Viabahn stent engaged around the midsection of the stent (a) and subsequently ensnared (b). c: The ensnared stent is "sheathed" over by the braided 12F sheath
case_images: 42155_2018_7_Fig5_HTML.jpg
case_images: PMC6319534_01_42155_2018_7_Fig5_HTML.jpg
case_images: Fig5
case_images: Gooseneck snare (ev3, Plymouth MN, USA) was manipulated until the stent was lassoed at about half way along the stent. Given the flexibility and potential collapsibility of the Viabahn stent it was over-sheathed carefully collapsing and gently retracting the captured stent to minimize potential vessel injury (Fig. 5a-c, Additional file 1).
case_images: The snared stent outside the patient
case_images: 42155_2018_7_Fig6_HTML.jpg
case_images: PMC6319534_01_42155_2018_7_Fig6_HTML.jpg
case_images: Fig6
case_images: The stent was retrieved intact (Fig. 6).