Successfully stented aortoiliac occlusive disease that has multi-level crossing channels in occluded terminal aorta

Aortoiliac occlusive disease (AOID) usually occurs as atherothrombotic stenosis or occlusion extending from the terminal aorta to the level of bilateral common iliac arteries. We experienced a young male case who had a history of five years of claudication with a tiny toe ulcer. The angiogram showed severely stenotic terminal aorta with two intraplaque collaterals in a multilevel crossing fashion that runs horizontally and vertically. With the careful endovascular procedure, we successfully implanted two stents in the lesion. As there are few reports that described such interesting channels, we presented the case in this article.