Abstract
We describe a novel case of treating severe distal aorto-illiac occlusive disease and endovascular aortic repair with kissing endoluminal lithoplasty balloons. This ensured a safe conduit to facilitate thoracic endovascular aortic repair.
Highlights
We describe a novel case of treating severe distal aorto-illiac occlusive disease and endovascular aortic repair with kissing endoluminal lithoplasty balloons
Balloon lithoplasty and graft placement of calcified aorto-iliac bifurcation is a safe approach to develop a clear conduit for thoracic endovascular aortic repair (TEVAR)
The authors describe a novel case of the use of kissing balloon lithoplasty of a severe calcified distal aorto-ostial iliac stenosis to help facilitate the placement of endovascular stent graft
Summary
PAU’s if not corrected can lead to intramural hemorrhage, pseudoaneurysm formation, and transmural aortic rupture [10] In this case report, the authors describe a novel case of the use of kissing balloon lithoplasty of a severe calcified distal aorto-ostial iliac stenosis to help facilitate the placement of endovascular stent graft. Kissing balloon lithoplasty has recently been used as a novel new technique in the other percutaneous procedures necessitating large bore access and devices which makes calcified lesions easier to treat. Both clinical and experimental studies have shown that staging aortic stenting or replacement reduces the incidence of spinal cord ischemia.
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