Abstract
The chief complaint of this case is intermittent claudication of both lower extremities. His ankle-brachial pressure index (ABI) was low on both side, and enhanced computed tomography (CT) revealed that occlusion of the terminal aorta and bilateral iliac artery with several accessory renal arteries arising from border area of the occluded aorta. Bilateral aortoiliac stenting using kissing technique was performed, then the intermittent claudication was disappeared, and his ABI was improved to normal range. Postoperative enhanced CT demonstrated that successful recanalization of bilateral lower extremities with patency of all accessory renal arteries. There was no significant deterioration in the renal function during follow-up period.