Aortic Bifurcation Stenosis: Treatment with Intravascular Stents

Kissing Stents for Treatment of Aortoiliac Disease

“…[4][5][6][7] With the initial utilization of double balloon 4,5 and subsequent introduction of kissing stent 6 technique such lesions can now be safely and effectively treated endovascularly. Primary concern about kissing stents is the lack of contact between the vessel wall and the opposing stents, which may prevent endothelialization and cause thrombosis or hemolysis 6 or induce intimal hyperplasia owing to variations in the wall shear stress 8 . Despite these concerns early results of aortoiliac kissing stents were promising.…”

“…The kissing stent technique which involves simultaneous implantation of two stents at aortic bifurcation is supposed to overcome these drawbacks. 6,7 With the refinement in stent technology, kissing stent technique has largely replaced kissing balloon angioplasty for the treatment of aortoiliac occlusive disease.…”

Comparison of Midterm Outcomes between Surgical Treatment and Endovascular Reconstruction for Chronic Infrarenal Aortoiliac Occlusion

“…Frequent complications initially restricted its application until the introduction of kissing stents (19,20). Stent modification greatly reduced the rates of dissection and distal embolic complications, but these complications still occur.…”

“Staged” kissing stent placement under computed tomographic angiography guidance for a bilateral aortoiliac occlusion

“…The current trend toward minimally invasive management of vascular disease has led to a refinement of techniques allowing treatment of extensive, complex, and bilateral aortoiliac disease. In particular, the ''kissing stent'' technique, initially described by Palmaz et al [3], has been applied as a useful and less invasive reconstructive method for treating aortoiliac occlusive lesions.…”