Associates' Presentations
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Kissing Stents Of The Aortoiliac Stenosis
M. Mouanoutoua, Anjan Gupta, Tanvir Bajwa, Sinai Samaritan Medical Center, Milwaukee, WI
Medical Center, University of Wisconsin Medical School, Milwaukee, WI. Background: Aotoiliac atherosclerotic occlusive disease is a major cause of life-style limiting claudication. Traditionally it has been treated with surgical bypass procedure. Percutaneous transluminal angioplasty using kissing balloon plus kissing stent has been used as an alternative to surgery. However, the long-term results are unknown.
Methods: We analyzed our initial experience with simultaneous stents deployment at the aortic bifurcation using kissing stent technique for details of its clinical outcome including effectiveness, complications, and long-term outcome.
Result: 18 patients (11 males and 7 females) aged 58+ 13.4 with aortoiliac stenosis underwent kissing stenting. All patients has excellent result and those without other comorbid illness were able to discharge home within 24 hours post stenting. Acute complications include distal emboli in 1 patient, and dissection in 1 patient. The patient who has distal embolization also has left groin infection that required localized debridement. 3 patients had restenosis after 7, 20,and 37 months post stenting. However, excellent results were obtained with repeated percutaneous transluminal angioplasty. The initial success rate was 100% and 90% with an average of 12.5 months follow-up in 15 of the 18 cases (3 patients were loss to follow-up). Conclusion: We have demonstrated in 18 patients that simultaneous deployment of 2 stents at the aortoiliac junction can be done with excellent procedural and clinical success with kissing balloons. Furthermore, it has good long-term outcome and is associates with few adverse events.
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