Abstract

TORRES CUEVAS, Boris Luis; PEREZ RESTREPO, Jonathan  and  MANTILLA HERNANDEZ, Juan Felipe. Endovascular management of bilateral iliac stenosis using the kissing stent technique. Rev Cubana Angiol Cir Vasc [online]. 2020, vol.21, n.3  Epub Jan 22, 2021. ISSN 1682-0037.

Aortoiliac disease is an entity that, due to its location and distribution, poses a challenge for the interventional radiologist. There are different endovascular techniques offering good permeability in the mid- and long terms, based on appropriate selection of patients. This article aimed at characterizing the kissing stent technique as another minimally-invasive therapeutic alternative in patients with aortoiliac disease. In this respect, the case is presented of a 60-year-old woman with intermittent claudication of three months of evolution, with trophic changes of the skin, predominantly on the right side, and in whom a bilateral aortoiliac disease was documented as type A according to the Trans-Atlantic Inter-Society Consensus Working Group II. Balloon angioplasty and self-expanding stenting of both common iliac arteries were performed using the kissing stent technique. At annual follow-up, the patient tolerated exercise; and, on physical examination, peripheral pulses were present. In addition, endovascular management of aortoiliac disease stenotic lesions using the kissing stent technique is safe, less invasive and present good outcomes in the midterm, which must be based on appropriate selection of patients.

Keywords : iliac arteries; endovascular techniques; stent.

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