For purposes of revascularization, PVD is considered in terms of inflow (aortoiliac) and outflow (infrainguinal) occlusive disease.
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
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