الفهرس | Only 14 pages are availabe for public view |
Abstract Aorto-iliac occlusive disease (AIOD) is common and may cause a spectrum of chronic symptoms from intermittent claudication to critical limb ischemia. In 2007, the Trans - Atlantic Inter-Society Consensus (TASC) document provided a classification of lesion subset to guide therapeutic decision making. For type D lesions surgical bypass is the recommended modality for revascularization. Improved operative techniques and newer reentry devices/catheters enabled experienced endovascular specialists to approach TASC D lesions with endovascular techniques. Results of endovascular recanalization of the iliac artery approached those of aortofemoral bypass with much less morbidity and a significantly shorter hospital stay.Technical success and both short and long term patency rates have been satisfactory, even in the challenging lesions these results justify an endovascular first approach for symptomatic AIOD |