Early and Midterm Results of Kissing Stent Technique in the Management of XXXX .

@entity1 @entity66 @entity532 @entity3885 @entity432 @entity715 @entity65
BACKGROUND: To retrospectively analyze the early and the midterm results of endovascular management of @entity3885 with the kissing stent technique. METHODS: From January 2005 to September 2012, 229 consecutive endovascular interventions for @entity3885 were performed; data from all the interventions were prospectively collected in a dedicated database. In 41 @entity1 , the kissing stent technique at the level of aortic bifurcation was performed (group 1), whereas in the remaining 188 it was not (group 2). Perioperative results were compared with chi-squared test. Follow-up results were analyzed with Kaplan-Meier curves and compared with log-rank test. RESULTS: Trans-Atlantic Inter-Society Consensus II C and D lesions were present in 66% of @entity1 in group 1 and in 28.5% in group 2 (P  <  0.001), whereas @entity432 rather than stenosis was detected in 78% of @entity1 in group 1 and in 50% in group 2 (P  =  0.001). The mean number of placed stents was 2.5 in group 1 and 1.4 in group 2 (P  <  0.001). Technical success was 100% in group 1 and 98% in group 2 (P  =  0.3). The rate of perioperative complications was 7.3% in group 1 and 4.2% in group 2 (P  =  0.4). At 30  days, neither deaths nor major @entity65 occurred. There was no @entity715 or significant restenosis at the early postoperative follow-up visit. Mean duration of follow-up was 22  months. Primary patency rates at 4  years were 70.5% (standard error [SE], 0.09) in group 1 and 75.5% (SE, 0.06) in group 2 (P  =  0.7). At the same interval, assisted primary and secondary patency and survival rates were also similar; reintervention rates were 15.5% in group 1 (SE, 0.1) and 19.5% in group 2 (SE, 0.06; P  =  0.6). CONCLUSIONS: The kissing stent technique provided satisfactory results in @entity1 with obstructive @entity66 , without an increase in immediate and @entity532 , representing an effective solution in complex anatomies.
