Endovascular intervention of aortoiliac occlusive disease in high-risk patients using the kissing stents technique: long-term results.

Full Abstract

Endovascular intervention deploying a kissing stents (KS) technique has been used as an alternative to surgical intervention in treating symptomatic aortoiliac occlusive disease. However, the long-term results on high-risk patients are unknown. We retrospectively analyzed data on high-risk patients who underwent endovascular intervention using the KS technique at our institution. Fifty high-risk patients aged 62 +/- 6.4 years with severe aortoiliac stenosis underwent stent-supported angioplasty using the KS technique. Thirty percent of the patients had total occlusion of the distal aorta and/or the iliac arteries. Twelve patients received thrombolytics prior to stenting. The procedure was successful in all 50 patients. There was a 4% acute complication rate (distal embolization). However, there were no vascular complications, myocardial infarction, or perioperative death. Primary patency during follow-up of 20 +/- 12.3 months was 92%, while secondary patency rate was 100%. Amputation-free survival was 100%. Ninety-two percent remained free of lifestyle-limiting claudication.

Author information

Author/s: Mouanoutoua, Mouatou (M); Maddikunta, Rajesh (R); Allaqaband, Suhail (S); Gupta, Anjan (A); Shalev, Yoseph (Y); Tumuluri, Ramagopal (R); Bajwa, Tanvir (T);

Affiliation: Milwaukee Heart Institute, Milwaukee, Wisconsin 53233, USA. mouatou.mouanoutoua(-atsign-)aurora.org

Journal and publication information

Publication Type: Journal Article

Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv), published in United States. (Language: eng)

Reference: 2003-Nov; vol 60 (issue 3) : pp 320-6

Dates: Created 2003/10/22; Completed 2004/03/19; Revised 2004/11/17;

PMID: 14571480, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Catheter Cardiovasc Interv. 2003 Nov;60(3):327-8. (PMID: 14571481)

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