The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice Marissa Toma, MD, Angelo Santos, MD, Bart Chess, MD, Satish Muluk, MD, Joseph Grisafi, MD Journal of Vascular Surgery Volume 56, Issue 1, Pages 212-215 (July 2012) DOI: 10.1016/j.jvs.2012.01.046 Copyright © 2012 Society for Vascular Surgery Terms and Conditions
Fig 1 Three-dimensional reconstruction of the computerized tomographic angiography demonstrated infrarenal aortic, celiac artery, and proximal superior mesenteric artery (SMA) stenoses along with an enlarged and widely patent inferior mesenteric artery (IMA). Journal of Vascular Surgery 2012 56, 212-215DOI: (10.1016/j.jvs.2012.01.046) Copyright © 2012 Society for Vascular Surgery Terms and Conditions
Fig 2 Angiography demonstrated a large calcified aortic lesion at the level of the inferior mesenteric artery (IMA) origin adjacent to a cephalad branch consistent with the Arc of Riolan. SMA, Superior mesenteric artery. Journal of Vascular Surgery 2012 56, 212-215DOI: (10.1016/j.jvs.2012.01.046) Copyright © 2012 Society for Vascular Surgery Terms and Conditions
Fig 3 Before endovascular treatment, angiographic imaging showed the distal aortic stenosis with an enlarged inferior mesenteric artery (IMA). Completion angiography confirmed successful deployment of an 8-mm × 37-mm Express stent in the mid-infrarenal abdominal aorta and a 5-mm × 19-mm Express stent in the IMA using the kissing-stent technique. ARC, Arc of Riolan. Journal of Vascular Surgery 2012 56, 212-215DOI: (10.1016/j.jvs.2012.01.046) Copyright © 2012 Society for Vascular Surgery Terms and Conditions