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

Soon-Young Song

doi:10.7599/hmr.2011.31.1.10

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

Review Article

Hanyang Medical Reviews

Hanyang Medical Reviews 2011; 31(1): 10-16.

Published online: 28 February 2011

DOI: https://doi.org/10.7599/hmr.2011.31.1.10

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

Soon-Young Song, M.D.

Department of Radiology, College of Medicine, Hanyang University, Seoul, Korea.

Corresponding author (songsy01@gmail.com)

Received 15 November 2010 Accepted 6 January 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Endovascular treatment, Iliac artery, Femoral artery

Figures and Tables

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.

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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