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EJCM. 2018; 6(1): 23-26


Endovascular treatment of aortoiliac occlusive disease involving the aortic bifurcation: Case Report

Funda Yildirim, Dilsad Amanvermez Senarslan, Adnan Taner Kurdal, Tulun Ozturk, Abdulkerim Damar, Mustafa Cerrahoglu, Ihsan Iskesen, Omer Tetik.

Abstract
Endovascular treatment of aortoiliac occlusive disease (AIOD) involving the aortic bifurcation is challenging. We presented you a 81 year-old male patient suffering from vertigo and buttock claudication. Both carotid and peripheric angiographies were performed in our cardiovascular clinic. The left carotid artery was 90% stenotic and the distal abdominal aorta was occluded (TASC II Classification, Type C lesion, short segment distal aortic occlusion at aortic bifurcation). The patient underwent endovascular treatment for AIOD (occlusive lesion at aortic bifurcation), two weeks after the carotid endarterectomy operation. The occlusions were recanalised succesfully with a bare-metal self expandable stent and two kissing covered ballon expandable stents for both iliac arteries. Endovascular treatment of aortic bifurcation lesions is a suitable, less invasive alternative for high-risk patients for open surgery.

Key words: Aortic bifurcation; aortoiliac occlusive; distal abdominal aorta; endovascular treatment



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