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.

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

Gender:

Male

Age:

63

Procedure

1

It was necessary to proceed with a double access:

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

5

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

6

Same day discharge

Videos collection

Video case

Images collection

Final angiography

Treatment recommended

Follow-up

About iCover

Final Outcomes