Iliac artery stenosis

iCover kissing stent technique to treat ostial EIA stenosis and iliac aneurism

"iCover offers a very precise positioning as it has radiopaque markers and no shortening was detected in the post-dilatation."

Gender:

Male

Age:

63

Hypertension
Right claudication Rutherford 3
Lesion information: right external iliac stenosis with ulcer and sacciform aneurism involving hypogastric bifurcation
Strategy: Create neo iliac bifurcation to treat both iliac stenosis and iliac aneurism without compromising internal iliac artery

Procedure

1

It was necessary to proceed with a double access:

• External iliac: 7Fr ipsilateral

• Internal iliac: 6Fr contralateral and crossover

2

An iCover 9x57mm was introduced in the external iliac artery

3

In the internal iliac artery, an iCover 7x27mm was inserted

4

A kissing stent technique was performed

• ExternaI iliac artery: iCover 9x57mm was first inflated at 13atm (Image 5), and then a proximal post-dilatation was done with a 10x20mm PTA balloon (14 atm).

• Internal iliac artery: iCover 7x27mm was implanted after at 13 atm also (Image 6).

5

A final kissing balloon technique was done (Image 7),

using a 10mm PTA balloon in the external iliac artery, and a7mm PTA balloon in the internal, both inflated at 10atm.

6

Same day discharge

Videos collection

No items found.

Video case

Images collection

No items found.

Final angiography

No items found.

Treatment recommended

About iCover

Final Outcomes