Stent Strut Protrusion – An Uncommon Complication of Stent Placement in a Fistula

Stent strut protrusion through the skin is a rare and a potentially dangerous complication from the cannulation of stents placed within arterio‐venous fistulas and grafts. Such cases are usually managed surgically. We present a case wherein strut penetration of an arterio‐venous fistula was noted at the distal (uncovered) end of a Fluency Plus ® tracheo bronchial stent graft. After analyzing the various reasons why this may have happened, a nonsurgical approach was taken to preserve the access and manage strut protrusion.