Kissingstents in the Aortic Bifurcation - a Valid Reconstruction for Aorto-iliac Occlusive Disease.

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title = "Kissingstents in the Aortic Bifurcation - a Valid Reconstruction for Aorto-iliac Occlusive Disease.",
abstract = "OBJECTIVE: To evaluate outcome and patency predicting factors of kissingstent treatment for aorto iliac occlusive disease (AIOD). METHODS: Patients treated with kissingstents for AOID between 1995 and 2004 at a tertiary referral center were identified through local databases. Chart review and preoperative images were used for TASC and Fontaine classification. Follow-up consisted of clinical exams, ABI and/or duplex. Patency rates were estimated by Kaplan-Meier analysis, and Cox multivariate regression was used to determine factors associated with patency. RESULTS: 173 consecutive patients (46{\%} male, mean 64 years) were identified. TASC distribution was: A 15{\%}, B 34{\%}, C 10{\%}, D 41{\%}. Mean follow-up was 36 months (range: 1-144). 30-day mortality was 1{\%} (2 patients), and 1-year survival was 91{\%} (157 patients). 2 patients underwent late, open conversion and 13 patients suffered minor puncture site complications. Primary, assisted primary and secondary patency was: 97{\%}, 99{\%} and 100{\%}, and 83{\%}, 90{\%} and 95{\%} at twelve and 36 months respectively. There was no significant difference in patency between the TASC groups. Patency was significantly worse for patients in Fontaine class III. CONCLUSIONS: Aortoiliac kissing stents is a valid alternative to open repair for TASC A-D lesions. The procedure has low mortality and morbidity and good patency at 3 years.",
author = "Katarina Bj{\"o}rses and Krassi Ivancev and L Riva and Jonas Manjer and Petr Uher and Tim Resch",
year = "2008",
doi = "10.1016/j.ejvs.2008.06.027",
language = "English",
volume = "Aug 7",
pages = "424--431",
journal = "European journal of vascular and endovascular surgery",
issn = "1532-2165",
publisher = "Elsevier",