Related Experiment Video

Updated: Jul 9, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Quality improvement guidelines for endovascular treatment of iliac artery occlusive disease

Dimitrios Tsetis1, Raman Uberoi

  • 1Department of Radiology, University Hospital of Heraklion, Medical School of Crete, P.O. Box 1352, Stavrakia, 71110, Heraklion, Crete, Greece. tsetis@med.uoc.gr

Cardiovascular and Interventional Radiology
|November 24, 2007
PubMed

Insights

Endovascular therapy is effective for iliac artery lesions, with stenting improving outcomes. Further research is needed to confirm optimal stenting strategies and antibiotic use.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Endovascular therapy is the primary treatment for Type A and preferred for Type B iliac artery lesions.
  • It can be applied selectively for Type C and D lesions.

Purpose of the Study:

  • To review the current applications and outcomes of endovascular therapy for iliac artery lesions.
  • To discuss optimal stenting strategies and adjunctive therapies.

Main Methods:

  • Review of endovascular techniques for iliac artery recanalization.
  • Discussion of various access routes (femoral, brachial) and spaces (intraluminal, subintimal).
  • Analysis of stent application, including primary vs. selective stenting and stent design considerations.

Main Results:

  • Stenting has improved immediate hemodynamic and long-term clinical results in iliac percutaneous transluminal angioplasty.
  • The superiority of primary over selective stenting is not yet proven.
  • Evidence for routine use of covered stents is insufficient.

Conclusions:

  • Endovascular therapy is a viable option for various iliac artery lesion types.
  • Antiplatelet therapy is recommended post-procedure; antibiotic prophylaxis lacks consensus.
  • Further evidence is needed to guide optimal stenting techniques and stent selection.

More Related Videos

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...