Successful endovascular reconstruction of acute lower limb ischemia secondary to embolic aortoiliac occlusion using endologix AFX unibody stent graft

Embolic aortoiliac occlusion presenting with acute lower limb ischemia is uncommon and represents a challenge for appropriate management. Several techniques for reconstruction are available, taking into account patient's demographics, surgical risk, and aortoiliac anatomy. Several endovascular and open surgical options exist. We present a novel management strategy, with the use of an endovascular aneurysm stent graft for the reconstruction of native aortoiliac system in a middle-aged female. This allowed for successful revascularization of her lower limb ischemia, while maintaining options for future intervention. Long-term data on this option for the management of acute aorto-iliac occlusion are limited.