» Articles » PMID: 16642322

Percutaneous Reconstruction of the Innominate Bifurcation Using the Retrograde 'kissing Stents' Technique

Overview
Journal Neuroradiology
Specialties Neurology
Radiology
Date 2006 Apr 28
PMID 16642322
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: Obstructions of the supraaortic vessels are an important cause of morbidity associated with a variety of symptoms. Percutaneous transluminal angioplasty has evolved as an effective and safe treatment modality for occlusive lesions of the supraaortic vessels. However, the endovascular management of an innominate bifurcation has not previously been reported.

Methods: A 53-year-old female with a history of systematic hypertension, diabetes mellitus and hypercholesterolemia presented with left hemiparesis and dysarthria. Angiography of the innominate artery showed a stenosis of the innominate bifurcation.

Results: The lesion was successfully treated using the retrograde kissing stent technique via a brachial approach and an exposed direct carotid approach.

Conclusion: The retrograde kissing stent technique for the treatment of a stenosis of the innominate bifurcation was found to be a safe and effective alternative to conventional surgery.

Citing Articles

Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report.

Li X, Shu C, Li Q, Fang K, Li M, Cai W J Med Case Rep. 2018; 12(1):352.

PMID: 30477574 PMC: 6258396. DOI: 10.1186/s13256-018-1840-7.

References
1.
Saker M, Oppat W, Kent S, Ryu R, Chrisman H, Nemcek A . Early failure of aortoiliac kissing stents: histopathologic correlation. J Vasc Interv Radiol. 2000; 11(3):333-6. DOI: 10.1016/s1051-0443(07)61426-2. View

2.
Bruckmann H, Ringelstein E, Buchner H, Zeumer H . Percutaneous transluminal angioplasty of the vertebral artery. A therapeutic alternative to operative reconstruction of proximal vertebral artery stenoses. J Neurol. 1986; 233(6):336-9. DOI: 10.1007/BF00313919. View

3.
Brountzos E, Petersen B, Binkert C, Panagiotou I, Kaufman J . Primary stenting of subclavian and innominate artery occlusive disease: a single center's experience. Cardiovasc Intervent Radiol. 2004; 27(6):616-23. DOI: 10.1007/s00270-004-0218-y. View

4.
Ringelstein E, Zeumer H . Delayed reversal of vertebral artery blood flow following percutaneous transluminal angioplasty for subclavian steal syndrome. Neuroradiology. 1984; 26(3):189-98. DOI: 10.1007/BF00342413. View

5.
Haulon S, Mounier-Vehier C, Gaxotte V, Koussa M, Lions C, Haouari B . Percutaneous reconstruction of the aortoiliac bifurcation with the "kissing stents" technique: long-term follow-up in 106 patients. J Endovasc Ther. 2002; 9(3):363-8. DOI: 10.1177/152660280200900317. View