Endovascular Treatment of Infrarenal Isolated Abdominal Aortic Dissection with Application of the Kissing Stents Technique: A Case Report and Review of the Literature

Georgios Sahsamanis; Georgios Vourliotakis; Konstantinos Maltezos; Georgios Plakas; Vasileios Tzilalis

doi:10.3400/avd.cr.16-00094

CASE REPORTS

Endovascular Treatment of Infrarenal Isolated Abdominal Aortic Dissection with Application of the Kissing Stents Technique: A Case Report and Review of the Literature

Georgios Sahsamanis , Georgios Vourliotakis, Konstantinos Maltezos, Georgios Plakas, Vasileios Tzilalis

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Keywords: isolated abdominal aortic dissection, kissing stents

JOURNAL OPEN ACCESS

2017 Volume 10 Issue 3 Pages 250-253

DOI https://doi.org/10.3400/avd.cr.16-00094

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Abstract

Isolated abdominal aortic dissection (IAAD) is a rare form of aortic dissection involving usually the infrarenal part of the abdominal aorta. A 45-year-old male presented with lumbar pain and claudication. Computed tomography angiography (CTA) revealed an infrarenal IAAD extending to the left external iliac artery (EIA), causing ≥90% narrowing of the lumen. An endovascular approach was decided, with deployment of an aortic stent-graft and two balloon expandable stents in both common iliac arteries (IAs), applying the kissing stents technique. Post-surgical course was uneventful; 12 month follow-up showed excellent vessel patency. Endovascular therapy seems to be a feasible treatment option with promising long-term follow-up results.

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