ABSTRACT

There are many treatments now available for iliac artery occlusive disease. The previous gold standard of aortobifemoral bypass is rarely performed at the present time. Other options include a variety of extra-anatomic bypasses, such as axillofemoral and femoral-femoral bypass. A combination of extraanatomic bypass and some endovascular inflow may also be performed. Previous treatment for unilateral iliac artery occlusion was frequently a femoralfemoral bypass. At the present time, it is possible to recanalize most iliac artery occlusions. Unilateral iliac artery occlusion is most common and there is often stenosis of the contralateral side. Bilateral iliac artery occlusions may also be treated using a bilateral endovascular approach. If one of the iliac arteries can be reopened and the other one cannot, stenting on one side can be performed followed by a femoral-femoral bypass.