The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion
El-naggar, A., Abdo, E., Farouk, N. (2023). The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion. EKB Journal Management System, 92(1), 5587-5594. doi: 10.21608/ejhm.2023.306170
Ahmed H. El-naggar; Ehab M. Abdo; Nehal Farouk. "The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion". EKB Journal Management System, 92, 1, 2023, 5587-5594. doi: 10.21608/ejhm.2023.306170
El-naggar, A., Abdo, E., Farouk, N. (2023). 'The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion', EKB Journal Management System, 92(1), pp. 5587-5594. doi: 10.21608/ejhm.2023.306170
El-naggar, A., Abdo, E., Farouk, N. The Effectiveness of Ipsilateral Stenting VS Kissing Stenting in the Treatment of Unilateral Common Iliac Artery Ostial Lesion. EKB Journal Management System, 2023; 92(1): 5587-5594. doi: 10.21608/ejhm.2023.306170

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

The Egyptian Journal of Hospital Medicine
Article 18, Volume 92, Issue 1, July 2023, Page 5587-5594  XML PDF (663.1 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.306170
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Authors
Ahmed H. El-naggar email ; Ehab M. Abdo; Nehal Farouk
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.
 
 
Keywords
Kissing stent; Unilateral stenting; Common iliac artery; Ostial lesion; Angioplasty
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