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

Nuri AKKUŞ

Makale detayları

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

Yazarlar:

Nuri AKKUŞ

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

SDU Medical Faculty Journal 2010 Vol.17 Issue 2

Belge Tipi:

Makale

Yayın Tarihi:

6/2010

Belge Dili:

İngilizce

Document ID (Org No.):

2000573462

Sıklık:

Üç Aylık

eISSN:

2602-2109

pISSN:

1300-7416

Özet:

 


Dear Editor,A 77-year-old white male presented with symptoms of claudication had ankle brachial indices (ABI) in therange of 0.5 bilaterally at rest. A lower extremity angiogram by accessing right groin was done which revealedostial 90-95% lesion in the right common iliac artery and 80-90% lesion in the left common iliac artery (Figure1). The left femoral artery was punctured, and a sheath was advanced. Both lesions were wired with a stiffglidewire. A 5mm x 4 cm balloon was advanced and simultaneous kissing balloon inflation was done inboth ostia of the common iliac arteries. Post inflation there was about 50% residual. A 7 x 27 mm balloonexpandable stent advanced to the right common iliac artery lesion and a 7 x 23 mm balloon expandable stentwas advanced to the left common iliac artery lesion. Simultaneous deployment of the stents was done at 6atmospheres. A 9 x 2 cm balloon used to post-dilate the left common iliac stent with a good result (Figure2). Patient had total relief of symptoms. As seen in this patient, ABIs below 0.5 correlate with severeanatomical lesions (1).

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Dear Editor,
A 77-year-old white male presented with symptoms of claudication had ankle brachial indices (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 (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 (Figure 2). Patient had total relief of symptoms. As seen in this patient, ABI's below 0.5 correlate with severe anatomical lesions (1).

Key words: Peripheral artery disease, kissing balloon, stenting.

Makale detayları

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

Yazarlar: Nuri AKKUŞ

Yayıncı: Süleyman Demirel University

Ana Başlıklar: Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi: SDU Medical Faculty Journal 2010 Vol.17 Issue 2

Belge Tipi: Makale

Yayın Tarihi: 6/2010

Belge Dili: İngilizce

Document ID (Org No.): 2000573462

Sıklık: Üç Aylık

eISSN: 2602-2109

pISSN: 1300-7416

Sayı

Yazarlar:

Nuri AKKUŞ

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

SDU Medical Faculty Journal 2010 Vol.17 Issue 2

Belge Tipi:

Makale

Yayın Tarihi:

6/2010

Belge Dili:

İngilizce

Document ID (Org No.):

2000573462

Sıklık:

Üç Aylık

eISSN:

2602-2109

pISSN:

1300-7416