Fenestrated stent system and method of use

A method of treating aortoiliac occlusion disease, comprising:

• placing a fenestrated stent at a location in the aortic bifurcation, the fenestrated stent having a distal aorta end and a common iliac end an comprising a fenestration at a point between the distal aorta end and the common iliac end and at least one radiopaque marker on an outer surface of the fenestrated stent, wherein the fenestrated stent is tapered 45% to 80% from the distal aorta end to the common iliac end, and wherein the fenestration comprises a radiopaque wireframe on the fenestration border;
• identifying the location of the fenestrated stent;
• adjusting the fenestrated stent such that the distal aorta end is in the aorta and the common iliac end is in a common iliac;
• identifying the location of the fenestration;
• adjusting the fenestrated stent so that the fenestration aligns with the contralateral common iliac;
• expanding a balloon to expand the fenestrated stent;
• and
• placing a common iliac stent through the fenestration of the fenestrated stent and in the contralateral common iliac artery, wherein the common iliac stent is tapered 5% to 25% from a proximal end to a distal end of the common iliac stent.