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Angiología

On-line version ISSN 1695-2987Print version ISSN 0003-3170

Abstract

VOOS-BUDAL-ARINS, Marcel  and  ALVAREZ, Antenor. Endovascular treatment with chronic total occlusion of the abdominal aorta in a patient with high surgical risk. Angiología [online]. 2022, vol.74, n.4, pp.186-190.  Epub Oct 24, 2022. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00392.

Introduction:

infrarenal aortic occlusion is defi ned as chronic total occlusion (CTo) of the aorta with or without involvement of the iliac arteries. It is classifi ed as a TaSC II (Transatlantic Inter-Society Consensus) type d lesion represents 3 to 8.5 % of aortoiliac occlusive diseases and can lead to ischemic symptoms in lower limbs.

Case report:

we report a case of a patient with a CTo of the proximal infrarenal aorta (juxtarenal) occlusion of iliac arteries and high surgical risk, who was treated endovascularly.

Discussion:

surgical revascularisation has been the treatment of choice for patients with this disease. although the results of endovascular treatment are favourable for aortoiliac lesions, endovascular treatment for complex lesions, especially CTo, remains challenging.

Keywords : Chronic total occlusion; aortoiliac occlusive disease; Peripheral artery disease; Endovascular treatment.

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