Kissing stent reconstruction of the aortoiliac bifurcation

Melhem J Sharafuddin; Jamal J Hoballah; Timothy F Kresowik; William J Sharp

doi:10.1177/1531003507313224

Back

Kissing stent reconstruction of the aortoiliac bifurcation

Journal article

Peer reviewed

Kissing stent reconstruction of the aortoiliac bifurcation

Melhem J Sharafuddin, Jamal J Hoballah, Timothy F Kresowik and William J Sharp

Perspectives in vascular surgery and endovascular therapy, Vol.20(1), pp.50-60

03/2008

DOI: 10.1177/1531003507313224

PMID: 18388012

View Online

Abstract

Kissing stent reconstruction of the aortoiliac bifurcation is a widely used technique for the management of aortoiliac occlusive disease involving the aortic bifurcation or proximal common iliac arteries. New advances in delivery systems and stent design have enabled better anatomic results with kissing stenting. Long-term patency is generally excellent, although several factors may adversely affect patency and should be taken into account when devising the stenting configuration and selecting the device to be used. Geometric variables related to individual aortic anatomy and disease pattern (patient dependent) and stenting configuration (operator dependent) may have an impact on long-term patency. Kissing stent aortoiliac reconstruction is effective and durable, even with complex aortoiliac disease and long-segment occlusions. In our experience, TASC (TransAtlantic Inter-Society Consensus) C and D class disease is not necessarily a contraindication to aortoiliac stent reconstruction, especially in poor operative risk patients. Most restenoses are amenable to endovascular treatment, with excellent long-term assisted patency.

Atherosclerosis - surgery

Intermittent Claudication - surgery

Arterial Occlusive Diseases - surgery

Humans

Middle Aged

Arterial Occlusive Diseases - classification

Female

Prosthesis Implantation - methods

Prosthesis Design

Stents

Contraindications

Vascular Patency

Details

Title: Subtitle: Kissing stent reconstruction of the aortoiliac bifurcation
Creators: Melhem J Sharafuddin - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa 52242, USA. mel-sharafuddin@uiowa.edu
Jamal J Hoballah
Timothy F Kresowik
William J Sharp
Resource Type: Journal article
Publication Details: Perspectives in vascular surgery and endovascular therapy, Vol.20(1), pp.50-60
Publisher: United States
DOI: 10.1177/1531003507313224
PMID: 18388012
ISSN: 1531-0035
eISSN: 1521-5768
Language: English
Date published: 03/2008
Academic Unit: Radiology; Surgery
Record Identifier: 9984051562502771

Metrics

14 Record Views

See more details