Internal Iliac Artery Stenosis: Diagnosis and How to Manage it in 2015
Guillaume Mahé1, Adrien Kaladji2, Alexis Le Faucheur3
1Pôle Imagerie et Explorations Fonctionnelles , Rennes , France ; INSERM, Clinical Investigation Center (CIC 14 14) , Rennes , France.
Insights
Internal iliac artery stenosis (IIAS), a type of lower extremity arterial disease (LEAD), is often overlooked. This review covers current knowledge, 2015 management strategies, and future research for IIAS.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Peripheral Arterial Disease
Background:
- Lower extremity arterial disease (LEAD) affects over 202 million globally.
- Internal iliac artery stenosis (IIAS) is an underdiagnosed manifestation of LEAD.
- IIAS is frequently misdiagnosed as pseudoclaudication, leading to delayed treatment.
Purpose of the Study:
- To consolidate current knowledge on Internal Iliac Artery Stenosis (IIAS).
- To outline management strategies for IIAS as of 2015.
- To identify future research directions for IIAS.
Main Methods:
- Comprehensive literature review.
- Analysis of existing clinical guidelines and research.
- Synthesis of current understanding and treatment approaches.
Main Results:
- IIAS is a distinct clinical entity within LEAD.
- Current major guidelines lack specific recommendations for IIAS.
- Management requires tailored approaches due to its unique presentation.
Conclusions:
- IIAS diagnosis and management require increased physician awareness.
- Standardized treatment protocols for IIAS are needed.
- Further research is crucial to optimize patient outcomes for IIAS.
Abstract:
Lower extremity arterial disease (LEAD) is a highly prevalent disease affecting 202 million people worldwide. Internal iliac artery stenosis (IIAS) is one of the localization of LEAD. This diagnosis is often neglected when a patient has a proximal walking pain since most physicians evoke a pseudoclaudication. Surprisingly, IIAS management is reported neither in the Trans-Atlantic Inter-Society Consensus II nor in the report of the American College Foundation/American Heart Association guidelines. The aims of this review are to present the current knowledge about the disease, how should it be managed in 2015 and what are the future research trends.
