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Title: Outcome of 'Kissing Stents' for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral Iliac Limb

Abstract

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.

Authors:
 [1]; ;  [2]; ;  [1];  [2]
  1. Department of Surgery, Queen Elizabeth Hospital, Sherriff Hill, Gateshead, Tyne and Wear NE96SX (United Kingdom)
  2. Department of Radiology, Queen Elizabeth Hospital, Sherriff Hill, Gateshead, Tyne and Wear NE9 6SX (United Kingdom)
Publication Date:
OSTI Identifier:
21083398
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 25; Journal Issue: 6; Other Information: DOI: 10.1007/s00270-001-0120-9; Copyright (c) 2002 Springer-Verlag New York, Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; LIMBS; PATIENTS; SURGERY; SYMPTOMS; VASCULAR DISEASES

Citation Formats

Mohamed, Faheez, Sarkar, B, Timmons, G, Mudawi, A, Ashour, H, and Uberoi, R. Outcome of 'Kissing Stents' for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral Iliac Limb. United States: N. p., 2002. Web. doi:10.1007/S00270-001-0120-9.
Mohamed, Faheez, Sarkar, B, Timmons, G, Mudawi, A, Ashour, H, & Uberoi, R. Outcome of 'Kissing Stents' for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral Iliac Limb. United States. https://doi.org/10.1007/S00270-001-0120-9
Mohamed, Faheez, Sarkar, B, Timmons, G, Mudawi, A, Ashour, H, and Uberoi, R. 2002. "Outcome of 'Kissing Stents' for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral Iliac Limb". United States. https://doi.org/10.1007/S00270-001-0120-9.
@article{osti_21083398,
title = {Outcome of 'Kissing Stents' for Aortoiliac Atherosclerotic Disease, Including the Effect on the Non-diseased Contralateral Iliac Limb},
author = {Mohamed, Faheez and Sarkar, B and Timmons, G and Mudawi, A and Ashour, H and Uberoi, R},
abstractNote = {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.},
doi = {10.1007/S00270-001-0120-9},
url = {https://www.osti.gov/biblio/21083398}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 6,
volume = 25,
place = {United States},
year = {Sun Dec 15 00:00:00 EST 2002},
month = {Sun Dec 15 00:00:00 EST 2002}
}