A case report of endovascular treatment of patient with infrareneral aorta occlusion

Diseases of peripheral arteries are considered to be one of the main reasons for hospitalization of patients in specialized departments of vascular surgery. Patients with atherosclerotic lesions of the lower limb vessels, especially with prolonged occlusions of the aorto-iliac arterial segments, usually undergo open shunt interventions. The aim of the case is to demonstrate successful endovascular treatment of prolonged occlusion of the aorta and iliac arteries. A 54-year-old patient complained of pain in both legs while walking for more than 100 m. The history of the disease was at least 5 years. The examination revealed occlusion of the abdominal aorta at the level of the lower third, common iliac arteries. Given the anatomical features of atherosclerotic lesion, the presence of a residual aortic lumen that could be used as a guiding cult for recanalization of the occluded aorto-iliac segment and a pronounced comorbid background, it was decided to perform endovascular surgery. Stenting of the infrarenal aorta, right and left common iliac arteries yielded good angiographic and clinical results. The case report demonstrates high efficiency of endovascular treatment of the Lerish syndrome and thus reducing the risk of perioperative complications, the length of the patient's stay in the hospital. Such complex and volumetric operations can be performed only with the appropriate equipment, the presence of a hybrid operating room and coordinated work of the “vascular” team the members of which have complete mastery over open and endovascular surgery.