A simplified approach for correction of bilateral renal and aortoiliac occlusive disease

Aortorenal bypass procedures have utilized autogenous artery, vein, and synthetic materials in the surgical management of atherosclerotic renal artery occlusive disease. When concomitant bilateral renal artery and aortic occlusive disease is identified, transaortic bilateral renal artery endarterectomy and aortoiliac/femoral bypass grafting is a safe and simplified technique which does not share the attendant problem and technical difficulties of aortorenal bypass operations.