Percutaneous endovascular intervention has gradually become the standard of care in the treatment of focal occlusive disease affecting the iliac arteries. Stent placement, as an adjunct to balloon angioplasty, represents a significant advancement because it can improve on the results of angioplasty and expand its applicability to more challenging lesions. Extensive aortoiliac occlusive disease, however, may still require conventional surgical reconstruction, although endovascular grafting and other technologies promise to offer less invasive therapeutic alternatives for such cases as well.
Techniques of balloon angioplasty and endoluminal stent deployment must be viewed and learned within the larger context of interventional therapy in which imaging and percutaneous catheter skills emerge as the most critical components.
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