Outcome of "Kissing Stents" for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral IliacLimb

• Published in: Cardiovascular and interventional radiology Vol. 25; no. 6; pp. 472 - 475
• Main Authors: Faheez, Mohamed, Sarkar, B, Timmons, G, Mudawi, A, Ashour, H, Uberoi, R
• Format: Journal Article
• Language: English
• Published: Vienna Springer Nature B.V 01.12.2002
• Subjects: Ankle; Arteriosclerosis; Atherosclerosis; Implants; Limbs; Patients; Signs and symptoms; Stents; Surgery; Ultrasound
• ISSN: 0174-1551; 1432-086X
• DOI: 10.1007/s00270-001-0120-9

Purpose: To assess outcomes following "kissing stents" for aortoiliac atherosclerotic disease, particularly in the non-diseased/non-symptomatic limb. Methods: Twenty-four patients underwent kissing stenting over 36 months. There were 36 symptomatic and 12 non-symptomatic/non-diseased limbs. Patients were prospectively followed with 3-monthly clinical assessment as well as duplex ultrasound. Results: At 23.5 months follow-up (range 3–36 months), 75% of patients had improvement in symptoms, 20% no change and 5% had deterioration. Sixty-one percent of limbs maintained an increase in ankle-brachial pressure index of >0.1. There were 15 reinterventions in nine patients, including three in non-symptomatic/non-diseased limbs. Primary patency at 6, 12 and 24 months was 94%, 81% and 58%, respectively. Primary assisted and secondary patency rates were 96%, 84% and 84% respectively for diseased limbs, and 92% and 100% for non-symptomatic/non-diseased limbs. Although reinterventions were required, there were no long-term occlusions in the non-diseased/non-symptomatic limb. Conclusion: Kissing stents offer an invaluable alternative to surgery. There were no long-term occlusions following kissing stents in a previously non-symptomatic/non-diseased limb.