Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2017)

A novel application of the culotte stent technique to bail out a jailed common iliac artery

  • Hideto Sangen, MD,
  • Shuhei Tara, MD, PhD,
  • Takahisa Tanaka, MD,
  • Hitoshi Takano, MD, PhD,
  • Kunio Tanaka, MD, PhD,
  • Wataru Shimizu, MD, PhD

DOI
https://doi.org/10.1016/j.jvscit.2017.09.005
Journal volume & issue
Vol. 3, no. 4
pp. 236 – 239

Abstract

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Implanting a self-expandable stent at the ostium of the common iliac artery (CIA) may lead to coverage of the orifice of the contralateral CIA. Here, we describe a novel application of the culotte stent technique using a balloon-expandable stent to bail out an ostial stenotic legion of a jailed CIA due to prior self-expandable stent placement. The bilateral CIAs were revascularized by culotte stenting, and patency of the stents was confirmed 3 years after the procedure. The culotte stent technique was successfully applied to an ostial stenotic lesion of a jailed CIA.