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. 2017 Sep 25;10(3):250-253.
doi: 10.3400/avd.cr.16-00094.

Endovascular Treatment of Infrarenal Isolated Abdominal Aortic Dissection with Application of the Kissing Stents Technique: A Case Report and Review of the Literature

Georgios Sahsamanis  1 , Georgios Vourliotakis  1 , Konstantinos Maltezos  1 , Georgios Plakas  1 , Vasileios Tzilalis  1
Affiliations

Endovascular Treatment of Infrarenal Isolated Abdominal Aortic Dissection with Application of the Kissing Stents Technique: A Case Report and Review of the Literature

Georgios Sahsamanis et al. Ann Vasc Dis. .

Abstract

Isolated abdominal aortic dissection (IAAD) is a rare form of aortic dissection involving usually the infrarenal part of the abdominal aorta. A 45-year-old male presented with lumbar pain and claudication. Computed tomography angiography (CTA) revealed an infrarenal IAAD extending to the left external iliac artery (EIA), causing ≥90% narrowing of the lumen. An endovascular approach was decided, with deployment of an aortic stent-graft and two balloon expandable stents in both common iliac arteries (IAs), applying the kissing stents technique. Post-surgical course was uneventful; 12 month follow-up showed excellent vessel patency. Endovascular therapy seems to be a feasible treatment option with promising long-term follow-up results.

Keywords: isolated abdominal aortic dissection; kissing stents.

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Figures

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Fig. 1 DSA (a) and 3D CTA (b) reconstruction of infrarenal IAAD, extending to the left CIA.
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Fig. 2 Preoperative CTA showing infrarenal IAAD commencing at the level of the IMA and extending to the left CIA.
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Fig. 3 Intraoperative angiography depicting (a) deployment of the aortic stent graft, (b) deployment of two iliac balloon expandable stents with the application of the kissing stents technique, (c) final angiography showing excellent patency of all involved vessels.
See this image and copyright information in PMC

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