66 year old male with PMH of HTN, HLD, NIDDM, CAD s/p 4V CABG, who presents with L>R lower extremity claudication (Rutherford class II-3). Prior lower extremity bypass and R femoral endartrectomy. Recent angiogram showed severe calcific disease of the left common iliac artery and CTA showed short segment focal dissection of the infrarenal abdominal aorta extending into the bilateral common iliac arteries. Bilateral single vessel run off distally.