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Intermittent claudication due to aortoiliac occlusive disease generally manifests as buttock and/or thigh symptoms with walking; patients with this disease pattern almost universally have a history of tobacco use. Revascularization options are dictated by the extent of disease and the patient’s physiologic fitness for surgery. A range of revascularization options is described, beginning with open aortic reconstruction, extra-anatomic options, hybrid techniques, and, finally, endovascular approaches.

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Aortoiliac Revascularization for Claudication: Evidence, Outcomes, and Patient Selection

  • 章节

  • 发表日期：

    2025年

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  • Donna Bahroloomi,
  • Donald T. Baril

摘要

Intermittent claudication due to aortoiliac occlusive disease generally manifests as buttock and/or thigh symptoms with walking; patients with this disease pattern almost universally have a history of tobacco use. Revascularization options are dictated by the extent of disease and the patient’s physiologic fitness for surgery. A range of revascularization options is described, beginning with open aortic reconstruction, extra-anatomic options, hybrid techniques, and, finally, endovascular approaches.