Both Common Iliac Artery Intervention One by One

- Operator : Andrej Schmidt

Both Common Iliac Artery Intervention One by One

- Operator: Andej Schmidt, MD

Case Presentation

The patient was a 68 year old man with claudication of both legs. He received a PCI at LM to middle LAD about 18 months ago. His cardiovascular risk factors were diabetes, hypertension, hyperlipidemia, chronic kidney disease.

Relevant Test Results Prior to Catheterization

Segmental limb pressure with Doppler revealed significant decreases of ankle-brachial indicies and pressure drop at the level of both ilio-femoral segments and femoro-popliteal segments.

Relevant Angiography Findings

The peripheral angiogram showed severe stenosis of both common iliac arteries(CIA) with dissection flap ( Movie 1, Movie 2).

Procedure

Two 7F sheaths were inserted into both femoral arteries, respectively. We passed through the stenotic sites of both CIA using a 0.032 soft terumo wire with 5F JR4 diagnostic catheter and replaced with a 0.035 Amplatz stiff wire for stable back up during intervention on both sides( Movie 3). 9 x 25mm Expresss LD stent was implanted at Rt CIA first and then 9 x 37mm Express LD stent was implanted at Lt CIA. Both stents was inflated up to 9mm (8atm). Post-stenting dilation was not done. Final angiogram showed well-positioned stent in both CIAs ( Movie 4).