Aortoiliac reconstruction in the setting of in-stent restenosis

HS Natraj Setty, TR Raghu, BC Srinivas, CM Nagesh, Babu Reddy, Jayashree Kharge, BK Geetha, BN Krishnamurthy, Shivanand Patil, CN Manjunath
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
DOI: 10.4103/0976-9668.198347


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.

Keywords: Angioplasty, aortob ifemoral graft surgery, iliac artery stenosis, in-stent restenosis

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