The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice.

Focal infrarenal aortic stenosis is relatively rare. Traditionally, aortic endarterectomy and aortic bypass surgery have been used to treat these lesions. However, percutaneous transluminal angioplasty and stenting have become well-defined alternatives. A 62-year-old woman presented with bilateral ischemic rest pain. Angiography revealed a mid-infrarenal aortic stenosis adjacent to an enlarged, patent inferior mesenteric artery. Celiac artery and superior mesenteric artery stenoses were also present. The kissing-stent technique is a viable option for ensuring inferior mesenteric artery patency when treating distal aortic lesions by endovascular means in patients with asymptomatic multivessel mesenteric artery disease.