Endovascular Therapy Is Effective for Leriche Syndrome with Deep Vein Thrombosis

Figure 4

(a) The proximal fibrous cap of the occlusion site of terminal aorta was penetrated by using a multipurpose catheter and a 0.035-inch Radifocus guidewire. (b) Treasure XS12 was crossed from the aorta to the left external iliac artery. (c) Another Treasure XS12 was advanced from the right femoral artery to the aorta. (d) The occluded segments of the bilateral iliac arteries were predilated with either of the two 4.0 mm balloons. (e, f) An Epic 10 mm (98 mm) and a 10 mm (80 mm) stent were inserted from the right common iliac artery and advanced to the aorta. Also, an Epic 10 mm (98 mm) and a 10 mm (60 mm) stent were inserted in the left iliac artery from the left common iliac artery and advanced to the aorta. (g) The postdilatation of the bilateral stents was performed simultaneously with two 5.0 mm balloons. (h) The final angiogram.

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