Hanyang Med Rev.  2011 Feb;31(1):10-16. 10.7599/hmr.2011.31.1.10.

Endovascular Management for Chronic Steno-occlusion of Iliac and Femoral Arteries

• Song SY

• KMID: 2053746
• DOI: http://doi.org/10.7599/hmr.2011.31.1.10

Abstract

The iliac and femoral arterial segments are the most common sites of atherosclerotic steno-occlusive lesions. As a less invasive treatment, endovascular therapy for these arterial segments has been widely accepted as a treatment of choice in selected patients. The long-term patency rate after endovascular treatment using angioplasty and/or stent for the iliac artery lesions was similar to those of surgical bypass. However, the results of femoral artery are still challenging. In this article, the indications, techniques and results of endovascular therapy for iliofemoral steno-occlusive lesions will be reviewed.

Keyword

Endovascular treatment; Iliac artery; Femoral artery

MeSH Terms

Angioplasty
Femoral Artery
Humans
Iliac Artery
Stents

Figure

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  Fig. 1 Endovascular treatment for stenoocclusive lesions of bilateral common iliac arteries in a 63-year old men. (A) Pelvic arteriography reveals short segmental occlusion (arrow) and stenosis (arrow head) of the right and left common iliac arteries respectively. (B) Two balloon-expandable stents were deployed simultaneously in the aortic bifurcation using a kissing technique. (C) Completion angiography reveals adequately recannalized steno-occlusive lesions of both common iliac arteries.

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  Fig. 2 Endovascular treatment for occlusion of the superficial femoral artery in a 59-year old men. (A) Both lower extremity arteriography reveals a segmental occlusion of the right superficial femoral artery. (B) A self expandible stent was deployed after successful guidewire passage. (C) Poststent balloon dilatation was performed. (D) Completion arteriography reveals recannalized lesion of right superficial femoral artery with mild residual stenosis.

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