title: Endovascular reconstruction of iliac artery bifurcation atherosclerotic disease with the kissing technique.
abstract: A 71-year-old male patient with severe left buttock and lower-extremity claudication due to iliac artery bifurcation stenoses was referred to our institution for endovascular treatment. A 'kissing' technique was used in order to dilate the proximal parts of both internal and external iliac arteries and avoid compromization of the internal iliac artery during proximal external iliac artery stenting. A balloon expandable stent was inserted via a left ipsilateral retrograde access to the narrowed origin of the left external iliacartery and a balloon catheter via a right contralateral access inside the origin of the left internal iliac artery. Simultaneous balloons inflation restored full patency of both vessels. Twelve months later the patient is doing well, free of buttock or lower-extremity claudication symptoms. For iliac artery bifurcation atherosclerotic disease, endovascular repair with the 'kissing' technique can achieve a complete bifurcation reconstruction offering significant clinical benefit in selected patients.
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Georgios
authors.initials: G
authors.lastname: Vourliotakis
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Georgios
authors.initials: G
authors.lastname: Mantas
authors.affiliation: Vascular Division, 2nd Department of Propedeutic Surgery, LAIKO Hospital, Athens University Medical School, Athens, Greece kthanassos@yahoo.com.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Katsargyris
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Christine
authors.initials: C
authors.lastname: Aivatidi
authors.affiliation: Department of Radiology, 401 General Military Hospital of Athens.
authors.forename: Yannis
authors.initials: Y
authors.lastname: Kandounakis
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods*; D003251:Constriction, Pathologic; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency
keywords: iliac bifurcation; internal iliac artery stenosis; kissing technique