Devices for aortoiliac occlusive disease

Abstract

Aortoiliac occlusive disease (AIOD) has traditionally been repaired with open surgery. However, with advancements in endovascular devices and techniques, many have adopted endovascular first approach, even for complex lesions. Stenting is the fundamental technique for endovascular treatment of AIOD, has been proven to be effective and safe. However, different types of stents may have different outcomes based on patient anatomy, lesion characteristics, and location. Intravascular lithotripsy is another device which may provide value in the setting of AIOD. This paper summaries current evidence and literature on outcomes of aortoiliac stenting and use of IVL in the treatment of AIOD.