Iliac Artery Disease: Pathophysiology, Diagnosis, and Management with Angioplasty and Stenting

Abstract

Iliac artery angioplasty is the main modality of accepted treatment for significant stenosis of common, external and internal iliac vessels. The field has been evolving over time with better techniques and better hardware availability. The purpose of the review article is to take the readers through literature available on this subject and to discuss techniques of performing the iliac angioplasty. The special subset of patients with dense calcifications, bifurcation lesions, ostial aortoiliac lesions, chronic total occlusions, or pre-transcatheter aortic valve replacement (TAVR) needs different preparations and skills. The role of imaging is evolving in peripheral vascular disease. The review article is an attempt to briefly talk about the disease, its treatment options, the trials, and techniques to address issues pertaining to iliac artery interventions.