Subintimal Stent Graft Reconstruction of an Infrarenal Aortic Occlusion

ABSTRACT

The traditional approach to revascularization in aortoiliac disease is surgical. Endovascular treatment techniques for revascularization have emerged in recent years and have resulted in less invasive options for management of vascular disease. In this article, we describe a novel approach to endovascular stent graft reconstruction of a heavily calcified infrarenal aortic occlusion. The interventional management of aortic occlusions is subsequently discussed.

Subintimal - stent graft - aortoiliac disease

REFERENCES

• 1 Rutherford R B. Aortobifemoral bypass, the gold standard: technical considerations.  Semin Vasc Surg. 1994;  7 11-16
• 2 el-Massry S, Saad E, Sauvage L R et al.. Axillofemoral bypass with externally supported, knitted Dacron grafts: a follow-up through twelve years.  J Vasc Surg. 1993;  17 107-114
• 3 Martinez R, Rodriguez-Lopez J, Diethrich E B. Stenting of abdominal aortic occlusive disease: long-term results.  Tex Heart Inst J. 1997;  24 15-22
• 4 Stoeckelhuber B M, Stoeckelhuber M, Gellissen J, Kuefer G. Primary endovascular stent placement of focal infrarenal aortic stenosis: long-term results.  J Vasc Interv Radiol. 2006;  17 1105-1109
• 5 Maynar M, Zander T, Qian Z et al.. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions.  J Endovasc Ther. 2005;  12 22-27
• 6 Rzucidlo E M, Powell R J, Zwolak R M et al.. Early results of stent-grafting to treat diffuse aortoiliac occlusive disease.  J Vasc Surg. 2003;  37 1175-1180
• 7 Murphy T P, Ariaratnam N S, Carney Jr W I et al.. Aortoiliac insufficiency: long-term experience with stent placement for treatment.  Radiology. 2004;  231 243-249