title: Treatment of the aorto-iliac segment in complex lower extremity arterial occlusive disease.
abstract: Endovascular treatment of the aortoiliac segment in occlusive disease has an established role especially in TASC A and B lesions. Recent studies with modern stent technology have shown excellent results with one-year primary patency above 95%. Regarding different endovascular approaches, there is level Ib evidence supporting provisional stenting in stenosed arteries, and primary stenting in occlusion. While open surgery shows higher patency rates in direct comparison to endovascular techniques, the latter show significantly lower complication rates and lower mortality. The recommendations reserving TASC C and D lesions exclusively to surgery are currently challenged, especially in poor surgical candidates.
authors.affiliation: Cardiovascular and Interventional Radiology Department of Biomedical Imaging and Image‑Guided Therapy Medical University of Vienna, Vienna, Austria - martin.funovics@meduniwien.ac.at.
authors.forename: A
authors.initials: A
authors.lastname: Wressnegger
authors.forename: C
authors.initials: C
authors.lastname: Kinstner
authors.forename: M
authors.initials: M
authors.lastname: Funovics
mesh_terms: D001018:Aortic Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply*; D018579:Patient Selection; D011474:Prosthesis Design; D011859:Radiography; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000009:adverse effects