Revascularization options for these patients are open surgery which includes endarterectomy, bypass surgery, or extra-anatomic bypass [axillofemoral bypass and percutaneous endovascular repair. Aortoiliac and aortofemoral bypass procedures are associated with 74% to 95% 5-year patency rates, respectively, which are comparable but not superior to percutaneous therapies.[36] Because many of these operations involve extensive abdominal incision, morbidity (eg, infection and bleeding) and mortality can become significant in the at-risk patient.
For common iliac bifurcation lesions, kissing-balloon–expandable stents