ABSTRACT
Occlusive iliac disease is due to atherosclerosis in the vast majority of cases and is a common
distribution of that pathology. Occasionally the lesion is restenotic (myointimal hyperplasia
following previous intervention or trauma) and very rarely it may be due to pelvic irradiation,
fibromuscular dysplasia, or follow exuberant protracted cycling. These rarities will not be
discussed further here.