ArticleJACC. Case reports2026
IVUS-Guided Salvage of Acute Venous Stent Fracture at Compression Site in May-Thurner Syndrome.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMay-Thurner syndrome results from chronic compression of the left common iliac vein between the right common iliac artery and the lumbar vertebrae. It predisposes to iliofemoral deep-vein thrombosis. CASE SUMMARY: A 40-year-old man presented with recurrent ulceration of the left medial gaiter region. Computed tomography venography revealed compression of the left common iliac vein. Endovascular therapy was performed and a dedicated venous stent was deployed. Postdilatation of the stent resulted in fracture of the stent at the compression point. Rescue was achieved by deploying an overlapping venous stent, restoring circular luminal geometry. The patient experienced symptomatic improvement, and the venous ulcer resolved within 5 months. DISCUSSION: This report illustrates a rare complication of venous stenting and emphasizes the critical role of intravascular ultrasound in recognizing device failure and guiding immediate corrective intervention. TAKE-HOME MESSAGES: May-Thurner syndrome should be suspected in young patients with severe unilateral chronic venous disease. Fracture of venous stents may occur at the iliac compression site after deployment.
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