Successful Endovascular Treatment for High Take Off Aorto-iliac Occlusive Disease

Abstract

A 73-year-old man with a history of intermittent claudication for the previous six years visited our hospital. His ankle-brachial index (ABI) was very low on both sides, and computed tomography (CT) indicated bilateral aorto-iliac occlusive disease (AIOD). As he refused to undergo open surgery, endovascular treatment (EVT) was administered. After the first and second EVT sessions, the intermittent claudication improved completely. In addition, the ABI normalized (right: 1.01, left: 0.99), and CT demonstrated full expansion of the stents. His post-EVT course was uneventful for 18 months. The use of EVT to treat AIOD is technically feasible and may serve as a potential treatment option for patients with an inoperable condition.

Leriche Syndrome: Percutaneous Treatment with Mechanical Thrombectomy: A Case Report

“…Evaluating percutaneous treatment, the risks of renal insufficiency, embolization and access complications are not insignificant; however, they can be prevented or managed without significant clinical consequence. Thus, the decision to choose open anatomic bypass is strongly challenged by percutaneous treatment, that should be considered a first-line treatment option for all patients with aortoiliac disease, especially for patients with an inoperable condition [15][16][17]. Quoting Clair DG and Beach JM, "the decision as to whether to choose anendovascular or open intervention requires a balance between the extent of thepatient's disease, the ability for thepatient to withstand a significant open operation without serious complication, and the surgeon's comfort and expertise in both open and endovascular aortoiliac procedures" [18].…”