An 83 year old man presented with severe left buttock claudication 2 months after treatment of an abdominal aortic atherosclerotic ulcer with an aorto-uni-iliac endoprosthesis, a left common iliac occluder and a right to left femoro-femoral crossover bypass. Computed tomography angiography showed an occluded left external iliac artery (LEIA) with an underfilled left internal iliac artery (LIIA). Via open femoral access, subintimal recanalisation of the LEIA was performed, followed by placement of two 7 × 150 mm VIABAHN® endoprostheses (WL Gore & Associates, Flagstaff, AZ, USA), resulting in successful retrograde inflow to the LIIA and complete recovery of the patient's symptoms.
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Publication history
Published online: March 18, 2017
Accepted:
February 14,
2017
Received:
February 5,
2017
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© 2017 European Society for Vascular Surgery. Published by Elsevier Ltd.
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