Vol. 84, March 2016

Kissing Stents in Treatment of Chronic Total Occlusion (CTO) of Aortic Bifurcation,

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Kissing Stents in Treatment of Chronic Total Occlusion (CTO) of Aortic Bifurcation, HISHAM FATHI, KARIM HOSNI, KHALED HINDAWI, OMAR EL-KASHEF and AMR GAD

 

Abstract
Background: Nowadays endovascular management of aortoiliac occlusive disease is considered the treatment of choice. Aortoiliac chronic total occlusion (AICTO) represents an endovascular challenge and technical aspects of revascu-larization of such lesions need to be addressed.
Objectives: The aim of the work is to ensure the effective role of kissing stents in treatment of occlusive lesions of aortic bifurcation.
Patients and Methods: This is a prospective study that includes 14 patients with atherosclerotic AICTO of aortic bifurcation treated in Kasr Al-Aini Hospital during the period from October 2012 to October 2014.
Results: Technical success was achieved in 100% of cases. Kissing balloon angioplasty had been done in all cases for predilatation followed by kissing stenting.
Conclusion: Routine stenting with the kissing technique remains the most safe and effective method for the treatment of aortic bifurcation CTO and represents a true endovascular alternative to surgery.

 

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