Unilateral Common Iliac Artery Ostial Lesion Stenting versus Kissing Stenting

Abstract

Background: Iliac arteries are common sites of occlusive atherosclerotic disease that is responsible for symptomatic arterial insufficiency of lower extremities and as atherosclerosis is a systemic disease, iliac diseases frequently have coexistent disease below the inguinal ligament. Objective: This study aimed to assess using unilateral Common iliac artery stent versus kissing stent as regard clinical and technical success in unilateral ostial common iliac artery lesions. Patients and Methods: From December 2018 to December 2020 in Al-Azhar University Hospital and Military Hospitals in Cairo, we assigned 20 patients with unilateral common iliac artery ostial lesion to undergo either unilateral stent or kissing stent; in two equal groups. Patients were followed up on clinical, technical success, and complications. Results: Regarding co-morbidities, 80% were smokers, 40% were diabetic, 40% had hypertension (HTN), and 40% had ischemic heart disease (IHD). Regarding complication, 15% had small groin hematoma, 1% had distal emboli, 5% had arterial dissection and 5% had contrast-induced nephropathy. Conclusion: No significant difference between unilateral and kissing technique regarding clinical, technical success, and complications. The unilateral stent is as safe and effective as kissing stents in the treatment of unilateral common iliac artery ostial lesions as regarding high technical, clinical success, and patient clinical improvement.