Endovascular Management of Complex Iliac Artery Occlusive Disease

T he iliac arteries represent one of the earliest vascular beds to be successfully addressed with percutaneous techniques. Endovascular treatment is considered standard of care for simpler lesions, and many clinicians prefer to treat even the most complex lesions with an initial percutaneous attempt. Success and long-term durability appear to be greater in the iliac arteries when compared to the superficial femoral or tibial arteries. The issues that face clinicians who treat iliac artery occlusive disease include the decision to choose endovascular therapy for more complex lesions as well as the choice of specific therapy given the patient’s anatomy and symptoms.