Fig. 2

Procedure detail. a The occluded right CFA was punctured under ultrasound guidance (arrowhead: tip of the needle), b A guidewire (arrow heads) was advanced via the occluded right CFA, c A guidewire was advanced to the subintimal space of the right CIA, d The OUTBACK reentry device in the subintimal space (arrow head) was directed to an angioplasty balloon located at the lumen of the right CIA (arrows), e Insertion of the wire (arrowhead) into the punctured balloon, f Retracting the punctured balloon with the wire established a through and through wire, g Main body graft (arrowheads) which was delivered via left iliac artery was deployed and then the contralateral limb (arrows) was delivered via right iliac artery, h Completion angiogram shows a successful exclusion of the AAA, i Embolization of the tract was performed using coils and a plug (arrowheads) where a 12F sheath was advanced. A leakage of contrast media (arrows) indicates vessel disruption, j Post-operative CT shows implanted endograft (arrowheads), coils and plugs (arrows), and preserved collateral channels. AAA: abdominal aortic aneurysm, CFA: common femoral artery, CIA: common iliac artery