The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion

Abstract

Background: Iliac arteries are commonly affected by occlusive atherosclerotic disease, leading to arterial insufficiency and lower extremity symptoms. Atherosclerosis in the iliac region often coexists with pathologies below the inguinal ligament. Aims: This study aimed to compare the effectiveness of unilateral common iliac artery stenting versus bilateral kissing stents in terms of clinical and technical success for treating unilateral common iliac artery ostial lesions. Method: A prospective study (October 2022-April 2023) that included 40 patients randomly assigned to two groups. Group A received bilateral kissing stents, while group B underwent unilateral common iliac artery stenting. Clinical evaluation, technical success, and complications were assessed over six months. Results: Technical success rate was 100 % in groups A and B, six months primary patency rate in group A was 95% had patent stent with good inflow while 5% had claudication at 100 M, treated by a balloon expandable stent. While in group B, 85% had patent stent with good inflow while 5% had claudication at 100 M, treated by balloon expandable stent, 5% had renal failure, congested heart failure and died, and 5% neglected medication. DFI occurred, sepsis and AKA was done as a lifesaving. Conclusion:Unilateral common iliac artery stenting demonstrated comparable clinical outcomes, technical success, and complication rates to bilateral kissing stents. It provides a safe and effective alternative for treating unilateral common iliac artery ostial lesions.