Endovascular Revascularization of Chronic Total Aortoiliac Occlusion Using Kissing Balloon Stenting in a 63-Year-Old Female: A Case Report

Abstract

We report a case of a 63-year-old hypertensive female with no prior cardiovascular or peripheral arterial disease history, who presented with new-onset bilateral leg pain and intermittent claudication. CT angiography revealed chronic total occlusion of the infrarenal abdominal aorta, bilateral common iliac arteries, and bilateral external iliac arteries. With preserved distal runoff through patent femoral arteries, she underwent successful endovascular revascularization using bilateral kissing balloon expandable stents. Post-procedure angiography confirmed excellent luminal restoration with resolution of symptoms. This case demonstrates the feasibility and efficacy of the kissing balloon technique as a minimally invasive alternative to open surgery in complex aortoiliac occlusions, even in patients without traditional PAD risk factors.