Balon Öpüşme ve osteal hakkı stent ve common iliak arter sol lezyonlar

A 77-year-old white male presented with symptoms of claudication had ankle brachial indices (ABI) in the range of 0.5 bilaterally at rest. A lower extremity angiogram by accessing right groin was done which revealed ostial 90-95% lesion in the right common iliac artery and 80-90% lesion in the left common iliac artery (pigure 1) . The left femoral artery was punctured, and a sheath was advanced. Both lesions were wired with a stiff glidewire. A 5mm x 4 cm balloon was advanced and simultaneous kissing balloon inflation was done in both ostia of the common iliac arteries. Post inflation there was about 50% residual. A7x27 mm balloon expandable stent advanced to the right common iliac artery lesion and a7x23 mm balloon expandable stent was advanced to the left common iliac artery lesion. Simultaneous deployment of the stents was done at 6 atmospheres. A9x2 cm balloon used to post-dilate the left common iliac stent with a good result (pigure 2) . Patient had total relief of symptoms. As seen in this patient, ABI's below 0.5 correlate with severe anatomical lesions (1).