Authors

• Tomislav Krčmar — Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska — ORCID: 0000-0003-4689-1673
• Boris Car — Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska

Abstract

Percutaneous interventions on lesions in aortoiliac localization have been in focus of interest from the very beginning of interventions because of anatomic suitability and very good short and long-term results. New guidelines from European Society of Cardiology on Peripheral Artery Disease (1) published in 2017 made changes in categorization of lesions by abandoning TASC II classification. Endovascular approach has I C recommendation for first choice treatment of occlusive lesions up to 5 cm in length. More complex lesions should be considered for endovascular-first strategy in patients with severe comorbidities. In general, endovascular treatment of peripheral artery disease in aortoiliac localization has a very important role after optimal medicament treatment and supervised exercise training.

Keywords

peripheral arterial diseases aortoiliac lesions, iliac lesion

DOI

Literature

1. Aboyans V, Ricco JB, Bartelink MEL, Björck M, Brodmann M, Cohnert T, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018 Mar 1;39(9):763–816. https://doi.org/10.1093/eurheartj/ehx095