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Kissing Stent Reconstruction of the Aortoiliac Bifurcation

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa, mel-sharafuddin{at}uiowa.edu

Jamal J. Hoballah, MD

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa

Timothy F. Kresowik, MD

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa

William J. Sharp, MD

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa

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.

Key Words: aortoiliac disease • atherosclerosis • stenting • angioplasty • intermittent claudication • peripheral vascular disease

This version was published on March 1, 2008

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 1, 50-60 (2008)
DOI: 10.1177/1531003507313224


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