Aortoiliac Occlusion and Axillobifemoral Bypass Graft

Hao Wang, MD*; Chongfu Jia, MD*; Zhaoqian Wang, MD*; Zhiqiang Yang, MD* and Xi Zhao, MD**
*Department of Cardiovascular Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, P. R. China
**Siemens Healthineers China

An 80-year-old male patient with an axillobifemoral bypass graft presented for follow up. The graft had been necessary due to an occluded right common iliac artery and bilateral external iliac arteries 7 years ago. The disabling claudication and rest pain in both lower limbs improved after the operation. However, intermittent claudication in the right lower limb began again 3 years ago and has progressed ever since. A Dual Energy CT (DECT) was requested for further evaluation.