{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:26:23Z","timestamp":1786965983976,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Endovascular therapy for occlusive lesion might reduce cardiac afterload and improve cardiac function potentially, but there is limited evidence regarding its effects on heart failure, particularly in patients with poorly controlled symptoms. One month earlier, this 80\u2010year\u2010old woman with paroxysmal atrial fibrillation had undergone left axillo\u2010bifemoral bypass for acute aortoiliac occlusion and was transferred to a rehabilitation hospital. After that, she was returned to our hospital after developing palpitations, dyspnea, and hypoxia during post\u2010operative rehabilitation. Laboratory tests showed anemia, mild renal dysfunction, and markedly elevated B type natriuretic peptide. Chest radiography demonstrated bilateral pulmonary congestion. She was diagnosed to acute heart failure, and treatment with intravenous furosemide at a dose of 40\u2009mg\/day and oral amiodarone at a dose of 100\u2009mg\/day was initiated. Because sinus rhythm could not be maintained despite medical therapy and pulmonary vein isolation, atrioventricular node radiofrequency catheter ablation and cardiac resynchronization therapy pacemaker implantation were performed on hospital Day 12. However, exertional oxygen desaturation persisted, BNP remained elevated, and rehabilitation was limited by bilateral intermittent claudication. On hospital Day 22, endovascular therapy for aortoiliac occlusive disease was performed. Subsequently, additional endovascular therapy was undertaken for chronic total occlusion of the left superficial femoral artery. She was able to ambulate 20\u2009m with support without any intermittent claudication (ankle\u2010brachial index increased from 0.67 to 0.91 on the right and from 0.81 to 0.98 on the left). Oxygen demand also gradually decreased (from 1\u2009L\/min to room air), and B type natriuretic peptide levels declined. Both systolic and diastolic blood pressure improved, and the patient was transferred back to the rehabilitation hospital on hospital Day 54 (32 days after endovascular therapy) without recurrence of heart failure symptoms. This case highlights two clinically relevant points. First, endovascular therapy for aortoiliac occlusive disease led to improvement in heart failure status. Second, B type natriuretic peptide levels showed a clear improvement following endovascular therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70816","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:54:16Z","timestamp":1786964056000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Endovascular Revascularization of Aortoiliac Occlusive Disease With Favorable Outcome for Refractory Heart Failure After Axillary\u2010Bifemoral Bypass Surgery: A Case Report"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7030-7402","authenticated-orcid":false,"given":"Hikaru","family":"Tanemura","sequence":"first","affiliation":[{"name":"Department of Cardiology Shonan Kamakura General Hospital Kamakura Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1913-6894","authenticated-orcid":false,"given":"Kazuki","family":"Tobita","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shonan Kamakura General Hospital Kamakura Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9384-6560","authenticated-orcid":false,"given":"Eiji","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shonan Kamakura General Hospital Kamakura Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1562-9437","authenticated-orcid":false,"given":"Hirokazu","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shonan Kamakura General Hospital Kamakura Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1093\/icvts\/ivaa223","article-title":"Midterm Outcomes of Endovascular Treatment With Bare Metal Stents for Leriche Syndrome Patients","volume":"32","author":"Zhang B.","year":"2021","journal-title":"Interactive Cardiovascular and Thoracic Surgery"},{"issue":"36","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"3538","DOI":"10.1093\/eurheartj\/ehae179","article-title":"2024 ESC Guidelines for the Management of Peripheral Arterial and Aortic Diseases","volume":"45","author":"Mazzolai L.","year":"2024","journal-title":"European Heart Journal"},{"issue":"2","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/j.jvs.2019.12.035","article-title":"Meta\u2010Analysis of Direct Surgical Versus Endovascular Revascularization for Aortoiliac Occlusive Disease","volume":"72","author":"Premaratne S.","year":"2020","journal-title":"Journal of Vascular Surgery"},{"issue":"5","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.jacc.2013.10.063","article-title":"Pre\u2010Clinical Diastolic Dysfunction","volume":"63","author":"Wan S. 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