- •Most aorto-iliac occlusive lesions are accessible to endovascular treatment or open surgery.
- •However, some patients present with highly challenging lesions for both endovascular treatment and direct open abdominal aortic reconstruction.
- •Thoracic aorta to bifemoral bypass may be offered to patients in such situation.
- •This work reports indication, technical aspects, and outcomes of this technique.
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B.H. and J.M.D. contributed equally to this article and should be considered co-first authors.