Endovascular Treatment of Aorto-iliac Occlusive Disease Using the Kissing Balloon Technique: Mid-term Follow-up

• Published in: Kardiyovasküler tıp e dergisi 2022-09, Vol.10 (3), p.123-129
• Main Authors: Yılmaz, Metin, Özen, Anıl, Yiğit, Görkem, Gül, Murat, İşcan, Zafer
• Format: Article
• Language: English
• Subjects: Angioplasty; Aortic dissection; Archives & records; Atherosclerosis; Cardiovascular disease; Catheters; Chronic obstructive pulmonary disease; Coronary vessels; Embolisms; Heart surgery; Hospitals; Hypertension; Intervention; Ischemia; Medical imaging; Older people; Patients; Statistical analysis; Stents; Survival analysis; Vein & artery diseases
• ISSN: 2147-1924; 2147-1924
• DOI: 10.32596/ejcm.galenos.2022.2022-01-06

Objectives: This study aimed to present our mid-term experience in the endovascular treatment of aortoiliac occlusive disease using the kissing balloon technique. Materials and Methods: This two-center, retrospective study included 36 patients (male, n=23; female, n=13; mean age 62.7±9.7 years) with an aortoiliac occlusive disease, who received intervention using the kissing balloon technique between January 2017 and December 2019. Results: Thirty-six patients with aortoiliac occlusive disease underwent percutaneous intervention. The procedure could not be continued in three patients because of technical failure. Hence, 33 patients were successfully treated using the kissing balloon technique. The technical success rate was 91.6% and the one year patency rate was 83.3%. Of the 33 patients, 3 underwent surgery because of stent occlusion. After 1-year follow-up, in all 30 patients, all the vessels and stents were patent and no re-stenosis, no occlusion and no procedure related morbidity and mortality occurred. Conclusion: The endovascular treatment of aortoiliac occlusive diseases with kissing balloon technique demonstrated high success and patency rates in appropriate cases. However, in some patients technical failure may occure and the procedure could not be completed. The use of newer recanalization devices, materials or techniques, enrollment of larger cohort and more than 1 year of follow-up may clarify the long-term results of the kissing balloon technique.