Abstract
Infrarenal abdominal aortic occlusive disease has traditionally been treated with aorto bifemoral bypass or axillo-femoral bypass. It is also associated with high mortality rate and major early complication rates. An endovascular approach has the advantages of lower mortality and morbidity and better hemodynamics. We reported three cases of high aortic occlusion (one with severe claudication and two with critical limb ischemia) those were managed by an endovascular approach. Endovascular treatment should be considered as an alternative to laparotomy or axillo-femoral bypass in selected patients with total juxtarenal aortic occlusions.