ABSTRACT

Balloon angioplasty and stents have had a profound impact upon the management of atherosclerotic occlusive disease of the aortoiliac segment. The long-term results of endovascular intervention are not quite as good as with open surgery, but they are reasonable. However, the short-term risks of percutaneous interventions are generally fewer than with open surgery. There is a trend in current practice toward the use of open surgery only for

patients who have failed endovascular intervention or in whom a percutaneous approach is not technically feasible. Chapter 6 provides a step-by-step approach for crossing the aortic bifurcation. Chapter 8 provides information about aortoiliac arteriography Supplies for aortoiliac intervention are listed in Table 1.