Endovascular revascularization for aortoiliac atherosclerotic disease

Abstract

Atherosclerotic iliac artery disease is increasingly being treated with endovascular techniques. A number of new stent technologies can be utilized with high long-term patency, including self-expanding stents, balloon-expandable stents, and covered stents, but comparative data on these stent types and in more complex lesions are lacking. This article provides a review of currently available iliac stent technologies, as well as complex procedural aspects of iliac artery interventions, including approaches to the treatment of iliac bifurcation disease, long segment occlusions, choice of stent type, and treatment of iliac artery in-stent restenosis.

Keywords:

• peripheral artery disease
• iliac artery
• balloon expandable stent
• self expanding stent
• covered stent
• claudication
• endovascular

Disclosure

Dr Armstrong is a consultant to Abbott Vascular, Medtronic, Merck, Pfizer, and Spectranetics. The other authors report no conflicts of interest in this work.