Backgrounds: Endovascular treatment deploying a kissing stents technique has been used as an alternative to surgical intervention in treating symptomatic chronic aorta total occlusive disease. However, the long-term clinical outcomes are unknown. We retrospectively analyzed data on patients who underwent endovascular treatment on total occlusion of aorta. Methods: A retrospective review of 27 patients aged 65.7짹12.5 years with total infrarenal aorta occlusion underwent angioplasty using the kissing stents technique. The mean clinical follow up duration was 44.2짹35.7 months. Results: The initial manifestation of patients was mainly lifestyle-limiting claudication(62%). 9 diabetic patients and 1 Takayasu���s arteritis patient and 1 Buerger���s disease patient were enrolled. Immediate post-procedural outcomes were successful in all patients, although there was a 33% acute complication rate (distal embolization) which were treated with infusion of thrombolytics (Urokinase 200,000IU). Follow up was performed clinically, angiographically and CT angiography. 81 percent remained free of lifestyle-limiting claudication. 4 patients had complained claudication and repeated intervention at below the common iliac artery without target lesion revascularization and 1 patient receive bypass surgery. There was no death and amputation during follow up periods. Conclusion: Endovascular treatment using the kissing stents technique is safe and effective for treatment of total aortic occlusive lesion. According to the excellent technical and follow-up results, this technique may be considered as a first-line treatment of symptomatic aortic total occlusive lesion. However, further investigation should be focused on long-term patency rates in comparison with surgical treatment.