Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 11, No. 1, 29-46 (1999)
DOI: 10.1177/153100359901100105

Endovascular Intervention for Iliac Artery Disease: Indications and Techniques

Frank J. Criado, M.D.

Division of Vascular Surgery, Center for Vascular Intervention, The Union Memorial Hospital/ MedStar Health, Baltimore, MD

Eric Wellons, M.D.

Division of Vascular Surgery/Endovascular Program, The Union Memorial Hospital/Medstar Health, Baltimore, MD

Omran Abul-Khoudoud, M.D.

Division of Vascular Surgery, The Union Memorial Hospital/MedStar Health, Baltimore, MD

Ly Ti Phan

Division of Vascular Surgery, The Union Memorial Hospital/MedStar Health, Baltimore, MD

Percutaneous endovascular intervention has gradually become the standard of care in the treatment of focal occlusive disease affecting the iliac arteries. Stent placement, as an adjunct to balloon angioplasty, represents a significant advancement because it can improve on the results of angioplasty and expand its applicability to more challenging lesions. Extensive aortoiliac occlusive disease, however, may still require conventional surgical reconstruction, although endovascular grafting and other technologies promise to offer less invasive therapeutic alternatives for such cases as well.

Techniques of balloon angioplasty and endoluminal stent deployment must be viewed and learned within the larger context of interventional therapy in which imaging and percutaneous catheter skills emerge as the most critical components.

Key Words: Iliac disease • endovascular intervention • stent placement


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