Kissing balloon and stenting of ostial right and left common iliac artery lesions

Authors : Nuri AKKUŞ

Pages : 0-0

View : 18 | Download : 7

Publication Date : 2010-06-30

Article Type : Conference Paper

Abstract :Dear Editor, A 77-year-old white male presented with symptoms of claudication had ankle brachial indices insert ignore into journalissuearticles values(ABI); in the range of 0.5 bilaterally at rest. A peripheral angiogram by accessing right groin was done which revealed ostial 80-90% lesion in the right common iliac artery and 90-95% lesion in the left common iliac artery insert ignore into journalissuearticles values(Figure 1);. The left femoral artery was punctured, and a sheath was advanced. Both lesions were wired with a stiff glidewire. A 5mm x 4 cm balloon was advanced and simultaneous kissing balloon inflation was done in both ostia of the common iliac arteries. Post inflation there was about 50% residual. A 7 x 27 mm Express stent advanced to the right common iliac artery lesion and a 7 x 23 mm Genesis stent was advanced to the left common iliac artery lesion. Simultaneous deployment of the stents was done at 6 atmospheres. A 9 x 2 cm balloon used to post-dilate the left common iliac stent with a good result insert ignore into journalissuearticles values(Figure 2);. Patient had total relief of symptoms. As seen in this patient, ABI`s below 0.5 correlate with severe anatomical lesions insert ignore into journalissuearticles values(1);. Key words: Peripheral artery disease, kissing balloon, stenting
Keywords :