title: The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice.
abstract: Focal infrarenal aortic stenosis is relatively rare. Traditionally, aortic endarterectomy and aortic bypass surgery have been used to treat these lesions. However, percutaneous transluminal angioplasty and stenting have become well-defined alternatives. A 62-year-old woman presented with bilateral ischemic rest pain. Angiography revealed a mid-infrarenal aortic stenosis adjacent to an enlarged, patent inferior mesenteric artery. Celiac artery and superior mesenteric artery stenoses were also present. The kissing-stent technique is a viable option for ensuring inferior mesenteric artery patency when treating distal aortic lesions by endovascular means in patients with asymptomatic multivessel mesenteric artery disease.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA. marissatoma@hotmail.com
authors.forename: Marissa
authors.initials: M
authors.lastname: Toma
authors.forename: Angelo
authors.initials: A
authors.lastname: Santos
authors.forename: Bart
authors.initials: B
authors.lastname: Chess
authors.forename: Satish
authors.initials: S
authors.lastname: Muluk
authors.forename: Joseph
authors.initials: J
authors.lastname: Grisafi
mesh_terms: D000792:Angiography; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D017537:Mesenteric Artery, Inferior; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed