[Percutaneous reconstruction of a pelvic vascular occlusion using the "kissing-balloon" technique].
A 43-year-old patient was admitted for severe claudication in his right leg, doppler ultrasound and angiography revealed an occluded right common iliac artery. Using the cross-over-approach from the contralateral side, it was possible to navigate a guide wire through the occlusion, and after passage with an excimer laser an ipsilateral retrograde puncture with placement of a sheath was performed. In order to protect the the aortoiliac bifurcation, a primary stent implantation of the occluded side was carried out using the kissing balloon technique. Afterwards three stents were placed. Subsequently the patient completely improved; treadmill exercise test and duplex sonography showed good results.


CONCLUSIONS
Using the kissing balloon technique, laser-assisted recanalisation of iliac artery occlusions even involving the aortoiliac bifurcation compare favorable to other more invasive treatments. A surgical procedure can thus be avoided.
Krankenberg
H
H
Universität Leipzig Herzzentrum Klinik für Kardiologie/Innere Medizin.
Walther
C
C
Sorge
I
I
Biamino
G
G
Baldauf
G
G
Schuler
G
G
D000328:Adult; D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation; D002404:Catheterization / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D015607:Stents; D016896:Treatment Outcome