A Case of Hybrid Lower Limb Revascularization for Aortoiliac Occlusive Disease with Severe Bilateral Common Femoral Artery Calcification Occlusions

Abstract

In patients with TASC II D aortoiliac occlusive disease involving occlusion just below the renal arteries and severe calcified occlusions of both common femoral arteries (CFAs), careful treatment planning is required to ensure adequate luminal reconstruction and vascular access. We performed hybrid revascularization combining bilateral common femoral endarterectomy and endovascular therapy in such a case. This case highlights a minimally invasive and rational treatment strategy for complex and extensive lesions with severe calcification.