ABSTRACT

INTRODUCTION Endovascular treatment of arterial occlusive disease has been widely accepted because of its low morbidity and mortality, patient comfort, and cost. Anecdotal reports and retrospective reviews of case series have expanded the indications of this therapeutic modality to include those with nondisabling intermittent claudication, which was traditionally treated by risk-factor modifications and progressive exercise regimen. Percutaneous techniques have largely replaced open bypass surgery for patients with critical limb ischemia. Furthermore, recent advances in vascular imaging have been instrumental in selecting patients with anatomically suitable lesions for percutaneous management. This chapter reviews the endovascular options in the treatment of infrainguinal arterial occlusive disease.