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

Andrew J Klein1, Ammar Nasir2

  • 1Piedmont Heart Interventional Cardiology, 95 Collier Road, Suite 2065, Atlanta, GA 30309, USA.

Interventional Cardiology Clinics
|March 10, 2020
PubMed

Insights

Endovascular revascularization is the primary treatment for aortoiliac occlusive disease (AIOD), offering improved outcomes for patients with limb ischemia. This review covers techniques, complications, and management for successful endovascular AIOD therapy.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Aortoiliac occlusive disease (AIOD) significantly impacts patient mobility and limb viability.
  • Endovascular revascularization is increasingly recognized as a primary treatment modality for AIOD.
  • Indications extend to asymptomatic patients needing large-bore access for procedures like TAVR or MCS.

Purpose of the Study:

  • To review current evidence supporting endovascular treatment for AIOD.
  • To outline indications, contraindications, and procedural techniques for endovascular AIOD revascularization.
  • To discuss complication management and post-procedural care for optimal outcomes.

Main Methods:

  • Comprehensive literature review of endovascular therapies for AIOD.
  • Analysis of procedural techniques, including access and device selection.
  • Evaluation of complication rates, management strategies, and long-term patency data.

Main Results:

  • Endovascular therapy demonstrates efficacy as first-line treatment for AIOD.
  • Established indications and contraindications guide patient selection.
  • Effective techniques and complication management protocols enhance safety and success.

Conclusions:

  • Endovascular revascularization is a cornerstone in managing AIOD.
  • Adherence to procedural guidelines and proactive complication management are crucial.
  • Optimized post-procedural care is essential for sustained patency and improved patient outcomes.

Keywords:
Aortoiliac interventionCovered stentsEndovascular interventionIliac artery

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