Concurrent multivessel stenting in a patient with multifocal arterial disease.

Purpose: To report the concurrent endovascular treatment of multiple stenoses in different vascular territories.

Methods And Results: A 45-year-old male presented with an aortic arch syndrome, renovascular hypertension, and Leriche syndrome. Intra-arterial digital arteriography disclosed occlusion of the left subclavian artery and stenoses in the left common carotid artery (CCA), the right CCA at the bifurcation, the left renal artery, and both iliac arteries.

Open subintimal angioplasty of the superficial femoral and distal arteries.

Purpose: To describe an open approach to subintimal angioplasty.

Technique: Through a subinguinal incision and arteriotomy over the superficial femoral artery origin, the opening of a subintimal channel is created surgically. The subintimal plane is advanced distally with a guidewire, and this neolumen is expanded with sequential balloon dilations.