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A 5 FRENCH KUMPE CATHETER AND GLIDEWIRE WERE USED TO TRAVERSE THROUGH THE LEFT COMMON ILIAC ARTERY. DESPITE MULTIPLE PROBING, THE GUIDEWIRE COULD NOT BE ADVANCED INTO THE DISTAL ABDOMINAL AORTA. DURING THE MANIPULATION, THERE WAS ANTEGRADE DISSECTION NOTED INVOLVING THE DISTAL COMMON ILIAC ARTERY, SPIRALLY DOWN TO THE EXTERNAL ILIAC ARTERY. GIVEN THE SPEED OF DISSECTION, WE HAD TO QUICKLY INTERVENE. AN 8 X 60 MM SELF-EXPANDABLE STENT (ABSOLUTE) WAS QUICKLY DEPLOYED IN THE LEFT DISTAL ILIAC ARTERY TO PREVENT FURTHER DISSECTION. SUBSEQUENTLY, ANOTHER 8 X 40 MM SELF-EXPANDABLE STENT WAS OVERLAPPED INTO THE COMMON ILIAC ARTERY TO TREAT THE INITIAL POINT OF DISSECTION. GENTLE ANGIOPLASTY WAS PERFORMED WITHIN THE STENTS, WITH AN 8 X 40 MM BALLOON CATHETER. POST INTERVENTION CONTRAST INJECTION SHOWED RESTORED WIDE PATENCY THROUGH THE LEFT ILIAC ARTERY. THE PATIENT HAS BEEN ON THE TABLE FOR 2 HOURS. IT WOULD NOT BE SAFE TO ATTEMPT CROSSING THE LEFT COMMON ILIAC ARTERY IN THIS SETTING. THEREFORE, WE DECIDED TO TERMINATE THE PROCEDURE. Code 34900 or 37236 1 time.