- Relevant clinical history and physical exam:
The patients was a 66-year old man with claudication of both legs for 2 years. The pulsation of both dorsalis pedis could be palpable, weakly. His coronary risk factors were hypertension, diabetes and smoking. He was diagnosed with peripheral artery disease (both common iliac arteries) by peripheral CT angiography at another hospital. He visited our hospital for proper management. He received percutaneous coronary intervention about 1 month ago.
- Relevant test results prior to catheterization:
CT angiography showed significant stenosis of both common iliac arteries (CIA). Segmental limb pressure with doppler revealed severely decreased both ankle-brachial indices and pressure drop was noted at both aorto-iliac segments.
- Relevant angiography findings:
The diffuse, significant stenosis of both common iliac arteries were revealed (Figure 1).