Successful Endovascular Treatment of Aortoiliac Bifurcation Stenosis Using an Empirically Based T and Protrude-Stenting with Self- and Balloon-Expandable Stents

Kurume Med J. 2017 Apr 13;63(1.2):39-43. doi: 10.2739/kurumemedj.MS6300010. Epub 2017 Feb 6.

Abstract

A 73-year-old woman with arteriosclerosis obliterans (ASO) was underwent a crossover stenting for an aortoiliac bifurcation from the right common iliac artery (CIA) with a self-expandable bare-metal stent (SE-BMS); however, a new stenosis later occurred just behind the bifurcation of the left CIA. An ex vivo experiment demonstrated that culotte-stenting by additional implantation of a balloon-expandable bare-metal stent (BE-BMS) through stent struts of the SE-BMS would be empirically infeasible. Although we had initially planned a T-stenting for the additional implantation of a BE-BMS in the left CIA, we finally deployed the stent in the CIA with the proximal end protruding into the previously-implanted SE-BMS through the stent struts to avoid incomplete coverage of the stenosis by reference to the ex vivo experiments. The patient has had no recurrence for 36 months.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Angioplasty, Balloon, Coronary / methods*
  • Aorta / surgery
  • Arteriosclerosis Obliterans / diagnosis
  • Arteriosclerosis Obliterans / surgery
  • Constriction, Pathologic / surgery*
  • Coronary Angiography / methods*
  • Drug-Eluting Stents*
  • Female
  • Humans
  • Iliac Artery / surgery
  • Treatment Outcome