Successful outside-the-stent stenting for in-stent chronic total occlusion in the common iliac artery

• DOI: 10.1007/s12928-012-0097-0
• Publication Date: 2012-02-21T07:18:31Z
• Authors: Takayuki Ishihara; Osamu Iida; Shin Okamoto; Tomoharu Dohi; Kei Sato; Kiyonori Nanto; Masashi Fujita; Tetsuya Watanabe; Masaki Awata; Fusako Sera; Nobuaki Tanaka; Yoshio Ishida; Shinsuke Nanto; Masaaki Uematsu
• Keywords: Male; Endovascular Procedures; Iliac Artery; 3. Good health; Blood Vessel Prosthesis Implantation; Peripheral Arterial Disease; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Alloys; Humans; Stents; Vascular Patency; Aged

Several studies showed durable long-term clinical benefit of endovascular therapy with stenting in aorto-iliac occlusive disease. Although in-stent restenosis is easily treated in routine practice, we experienced an uncommon case of failed reconstitution of in-stent total occlusion at the common iliac artery (CIA). The case was treated with nitinol stent implantation outside of the in-stent occlusion site, and good vessel patency was observed at 14 months after the procedure. Nitinol stent implantation outside of an in-stent occlusion in the CIA is a novel reconstitution strategy when the guide wire cannot pass the occlusion site within a previously implanted stent.