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The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice  Marissa Toma, MD, Angelo.

Published byLinda Stella Teixeira Modified over 5 years ago

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Presentation on theme: "The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice  Marissa Toma, MD, Angelo."— Presentation transcript:

1 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 (July 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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