Abstract
Treatment for claudication due to peripheral artery disease is characterized by lower perioperative morbidity and better long-term patency because limb survival is acceptable. A 77-year-old man had severe claudication and extensive calcified lesions of the abdominal aorta, bilateral common iliac artery, right common femoral artery, and right popliteal artery. Combined endovascular treatment with stenting from the abdominal aorta to the left common iliac artery and crossover bypass of the left external iliac artery to the right common femoral artery were performed. The clinical symptoms improved and the postoperative course was uneventful.