Abdominal Aortic Occlusive Disease

Abstract

Aortoiliac occlusive disease manifests with a broad spectrum clinically, from asymptomatic disease to critical limb ischemia. Vascular laboratory and axial imaging studies are essential to confirm the lesion and develop an intervention plan. Medical treatment should be initiated early, although it plays a limited role. With recent advances in percutaneous endovascular devices, a variety of minimally invasive solutions exist with favorable long-term patency and durability. Open surgical endarterectomy and bypass still remain a durable option for patients with advanced disease or failed endovascular therapy.