Valve-Like and Protruding Calcified Intimal Flap Complicating Common Iliac Arteries Kissing Stenting

Figure 2

(a) Antegrade angiogram shows obstruction of left iliac artery axis blood flow, from an elevated valve-like calcified intimal flap protruding through the upper pole struts of the left-sided kissing stent. (b) Retrograde contrast injection reduces the obstructing flow flap against the stent wall, demonstrating normal aortoiliac anatomy. (c) Raising the aortic bifurcation with another kissing technique entirely traps the calcified flap between the two stents. (d) Angiogram demonstrating normal aortoiliac blood flow.

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