Abstract
BACKGROUND: The effectiveness of the dual transradial approach (TRA) for aortoiliac occlusive disease (AIOD) remains unclear. CASE SUMMARY: 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. DISCUSSION: Although the bilateral or unilateral transfemoral approach was conventionally selected for AIOD, dual TRA could be one of the options. TAKE-HOME MESSAGE: Dual TRA could be considered as an alternative treatment for AIOD.