Open AccessAortoiliac reconstruction in the setting of in-stent restenosis
Author(s) -
H.S. Natraj Setty,
T.R. Raghu,
B.C. Srinivas,
C.M. Nagesh,
Babu Reddy,
Jayashree Kharge,
B.K. Geetha,
Bhaskar Krishnamurthy,
Shivanand Patil,
Cholenahally Nanjappa Manjunath
Publication year - 2017
Publication title -
journal of natural science, biology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 30
eISSN - 2229-7707
pISSN - 0976-9668
DOI - 10.4103/0976-9668.198347
Subject(s) - medicine , restenosis , surgery , percutaneous , angioplasty , stenosis , aortic bifurcation , stent , ischemia , external iliac artery , radiology , balloon , critical limb ischemia , iliac artery , dissection (medical) , deep femoral artery , artery , vascular disease , aorta , arterial disease , cardiology
Complex iliac artery obstructions, particularly bilateral stenosis or total iliac artery occlusions, are usually treated with aortofemoral or aortobifemoral graft surgery. However, surgical treatment is associated with 3% mortality rate and significant morbidity such as intestinal ischemia, spinal cord injury, and ureteral damage. Percutaneous interventions of aortic bifurcation offer a promising alternative to surgery with potentially lower morbidity and mortality risk. We report a case of peripheral artery disease who had underwent right transfemoral iliac angioplasty with femoropopliteal bypass presented again with bilateral lower limb ischemia, who was successfully treated with stent implantation with the kissing balloon technique.