ABSTRACT

Atherosclerotic occlusive disease commonly occurs in the aortoiliac segment. Two-thirds of these patients are male, and the vast majority have a history of prolonged cigarette smoking. Most often, they present in their mid-fifties 25-10 years earlier than patients with more distal occlusive disease.[1]

The purpose of this chapter is to review the surgical therapy for aortoiliac occlusive disease, with attention to the historical aspects, pathology, diagnostic methods, conservative and operative management, and complications.