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Cardiovascular and Interventional Radiological Society of Europe Guidelines on Endovascular Treatment in Aortoiliac Arterial Disease

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Abstract

Purpose

These guidelines are intended for use in assessing the standard for technical success and safety in aorto-iliac percutaneous endovascular interventions.

Methods

Any recommendation contained in the text comes from the highest level and extension of literature review available to date.

Results

The success of endovascular procedures is strictly related to an accurate planning based mainly on CT- or MR-angiography. TASC II A through C lesions have an endovascular-first option Pre-procedure ASA antiplatelet therapy is advisable in all cases. The application of stents improves the immediate hemodynamic and most likely long-term clinical results. Cumulative mean complication rate is 7.51 % according to the most relevant literature. Most of the complications can be managed by means of percutaneous techniques.

Conclusion

The design and quality of devices, as well as the easy and accuracy of performing these procedures, have improved over the last decades, leading to the preferential treatment of aorto-iliac steno-obstructive disease via endovascular means, often as first-line therapy, with high technical success rate and low morbidity. This is mirrored by the decreasing number of patients undergoing surgical grafts over the last years with patency, limb salvage, and survival rates equivalent to open reconstruction.

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The authors have no conflict of interest.

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Correspondence to Michele Rossi.

Appendix

Appendix

See Tables 8, 9, and 10.

Table 8 Classes of recommendations
Table 9 Levels of evidence
Table 10 Classification of aortoiliac lesions

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Rossi, M., Iezzi, R. Cardiovascular and Interventional Radiological Society of Europe Guidelines on Endovascular Treatment in Aortoiliac Arterial Disease. Cardiovasc Intervent Radiol 37, 13–25 (2014). https://doi.org/10.1007/s00270-013-0741-9

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  • DOI: https://doi.org/10.1007/s00270-013-0741-9

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