Treatment of subacute external iliac artery thrombosis

The patient presented with a 3 month history of left leg claudication. Arteriography demonstrated a left common iliac artery occlusion (arrow; A). The external iliac artery reconstituted and there was good distal runoff. The occlusion was easily crossed with a wire placed from the contralateral groin (B). The external iliac artery was stented, and thrombus that was present was moved distally to the left common femoral artery and aspirated using a thrombectomy catheter. After overnight catheter-directed thrombolytic therapy, there was minimal residual thrombus with brisk flow, which was treated with anticoagulation (C).