Computed tomography-guided balloon-assisted endovascular recanalization and angioplasty in Leriche syndrome

We present a report of a novel angioplasty technique for Leriche syndrome; we performed computed tomography (CT)-guided balloon-assisted recanalization after failure of a conventional recanalization technique. A 58-year-old man with occlusion of the infrarenal abdominal aorta was treated using endovascular stenting after failure to cross the occlusion using a guidewire. With a balloon catheter placed at the distal end of the abdominal aorta, the opposite end of the guidewire was advanced from the proximal side of the aortic occlusion under CT guidance, following which stents were placed in left and right iliac arteries and the abdominal aorta to restore the blood flow.