title: Cardiovascular and Interventional Radiological Society of Europe guidelines on endovascular treatment in aortoiliac arterial disease.
abstract: OBJECTIVE
  These guidelines are intended for use in assessing the standard for technical success and safety in aorto-iliac percutaneous endovascular interventions.
  
  
  METHODS
  Any recommendation contained in the text comes from the highest level and extension of literature review available to date.
  
  
  RESULTS
  The success of endovascular procedures is strictly related to an accurate planning based mainly on CT- or MR-angiography. TASC II A through C lesions have an endovascular-first option Pre-procedure ASA antiplatelet therapy is advisable in all cases. The application of stents improves the immediate hemodynamic and most likely long-term clinical results. Cumulative mean complication rate is 7.51 % according to the most relevant literature. Most of the complications can be managed by means of percutaneous techniques.
  
  
  CONCLUSIONS
  The design and quality of devices, as well as the easy and accuracy of performing these procedures, have improved over the last decades, leading to the preferential treatment of aorto-iliac steno-obstructive disease via endovascular means, often as first-line therapy, with high technical success rate and low morbidity. This is mirrored by the decreasing number of patients undergoing surgical grafts over the last years with patency, limb salvage, and survival rates equivalent to open reconstruction.
authors.affiliation: Interventional Radiology Unit, Sant'Andrea University Hospital, Rome, Italy, michele.rossi@uniroma1.it.
authors.forename: Michele
authors.initials: M
authors.lastname: Rossi
authors.forename: Roberto
authors.initials: R
authors.lastname: Iezzi
mesh_terms: D000792:Angiography; D000800:Angioplasty, Balloon; D001018:Aortic Diseases / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D057510:Endovascular Procedures; D005060:Europe; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery; D053783:Magnetic Resonance Imaging, Interventional; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications / Q000517:prevention & control; D015641:Radiography, Interventional; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors