Valve-Like and Protruding Calcified Intimal Flap Complicating Common Iliac Arteries Kissing Stenting
Joint Authors
Antoniou, Georgios
Georgiadis, George S.
Georgakarakos, Efstratios I.
Schoretsanitis, Nikolaos
Argyriou, Christos C.
Lazarides, Miltos K.
Source
Case Reports in Vascular Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Endovascular therapy for iliac artery chronic total occlusions is nowadays associated with low rates of procedure-related complications and improved clinical outcomes, and it is predominantly used as first-line therapy prior to aortobifemoral bypass grafting.
Herein, we describe the case of a patient presenting with an ischemic left foot digit ulcer and suffering complex aortoiliac lesions, who received common iliac arteries kissing stents, illustrating at final antegrade and retrograde angiograms the early recognition of a blood flow obstructing valve-like calcified intimal flap protruding through the stent struts, which was obstructing antegrade but not retrograde unilateral iliac arterial axis blood flow.
The problem was resolved by reconstructing the aortic bifurcation at a more proximal level.
Completion angiogram verified normal patency of aorta and iliac vessels.
Additionally, a severe left femoral bifurcation stenosis was also corrected by endarterectomy-arterioplasty with a bovine patch.
Postintervention ankle brachial pressure indices were significantly improved.
At the 6-month and 2-year follow-up, normal peripheral pulses were still reported without intermittent claudication suggesting the durability of the procedure.
Through stent-protruding calcified intimal flap, is a very rare, but existing source of antegrade blood flow obstruction after common iliac arteries kissing stents.
American Psychological Association (APA)
Georgiadis, George S.& Georgakarakos, Efstratios I.& Schoretsanitis, Nikolaos& Argyriou, Christos C.& Antoniou, Georgios& Lazarides, Miltos K.. 2015. Valve-Like and Protruding Calcified Intimal Flap Complicating Common Iliac Arteries Kissing Stenting. Case Reports in Vascular Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060311
Modern Language Association (MLA)
Georgiadis, George S.…[et al.]. Valve-Like and Protruding Calcified Intimal Flap Complicating Common Iliac Arteries Kissing Stenting. Case Reports in Vascular Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1060311
American Medical Association (AMA)
Georgiadis, George S.& Georgakarakos, Efstratios I.& Schoretsanitis, Nikolaos& Argyriou, Christos C.& Antoniou, Georgios& Lazarides, Miltos K.. Valve-Like and Protruding Calcified Intimal Flap Complicating Common Iliac Arteries Kissing Stenting. Case Reports in Vascular Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060311
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060311