Kissing Stents in Treatment of Chronic Total Occlusion (CTO) of Aortic Bifurcation

Background: Nowadays endovascular management of aortoiliac occlusive disease is considered the treatment of choice. Aortoiliac chronic total occlusion (AICTO) represents an endovascular challenge and technical aspects of revascularization of such lesions need to be addressed.Objectives: The aim of the work is to ensure the effective role of kissing stents in treatment of occlusive lesions of aortic bifurcation.Patients and Methods: This is a prospective study that includes 14 patients with atherosclerotic AICTO of aortic bifurcation treated in Kasr Al-Aini Hospital during the period from October 2012 to October 2014.Results: Technical success was achieved in 100% of cases. Kissing balloon angioplasty had been done in all cases for predilatation followed by kissing stenting.Conclusion: Routine stenting with the kissing technique remains the most safe and effective method for the treatment of aortic bifurcation CTO and represents a true endovascular alternative to surgery.