Endovascular treatment of iliac occlusive disease: review and update.
Use of endovascular interventions for arterial occlusive lesions continues to increase. With the evolution of the technology supporting these therapeutic measures, the results of these interventions continue to improve. In general, a comparison of techniques for revascularization of iliac occlusive diseases shows similar initial technical success rates for open versus percutaneous transluminal angioplasty. Angioplasty is often associated with lower periprocedural morbidity and mortality rates. Conversely, surgery frequently provides greater long-term patency, although late failure of percutaneous therapies may occur but still can be treated successfully with reintervention. The perpetual buildup of experience with angioplasty and stenting will eventually characterize its role in the management of occlusive disease. This review outlines the current consensus and applicability of endovascular management of iliac occlusive diseases.
Mousa
Albeir Y
AY
Division of Vascular Surgery, Brookdale University Hospital and Medical Center, One Brookdale Plaza, Brooklyn, NY 11212, USA. mousamd@aol.com
Beauford
Robert B
RB
Flores
Lucio
L
Faries
Peter L
PL
Patel
Prem
P
Fogler
Richard
R
D017130:Angioplasty / Q000191:economics / Q000379:methods*; D000800:Angioplasty, Balloon / Q000191:economics / Q000295:instrumentation; D001157:Arterial Occlusive Diseases / Q000191:economics / Q000601:surgery*; D003362:Cost-Benefit Analysis; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D011183:Postoperative Complications; D011474:Prosthesis Design; D015607:Stents / Q000191:economics