title: 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.
authors: Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan.
authors: Akihiro
authors: A
authors: Nomura
authors: Michio
authors: M
authors: Nagashima
authors: Yusuke
authors: Y
authors: Tomoi
authors: Atsushi
authors: A
authors: Tosaka
authors: Yoshimitsu
authors: Y
authors: Soga
mesh_terms: D000368:Aged; D055109:Ankle Brachial Index; D006801:Humans; D007383:Intermittent Claudication / Q000628:therapy; D007925:Leriche Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed