Dual Transradial Approach for Aortoiliac Occlusive Disease

The effectiveness of the dual transradial approach (TRA) for aortoiliac occlusive disease (AIOD) remains unclear. A 62-year-old man presented with claudication in his both legs. Bilateral ankle-brachial index was decreased, and computed tomography demonstrated the aortoiliac occlusion. Because medical therapy was insufficient, revascularization was performed. A guiding sheath was inserted from the left radial artery to the distal aorta, and 2 guidewires were passed through both common iliac arteries (CIAs). After the balloon angioplasty for each CIA, new guiding sheath was additionally inserted from the right radial artery. A guidewire was advanced into the right CIA. Finally, a bare-nitinol stent was placed in each CIA from both radial arteries with no complications. Although the bilateral or unilateral transfemoral approach was conventionally selected for AIOD, dual TRA could be one of the options. Dual TRA could be considered as an alternative treatment for AIOD.