6.5 Conclusion
There is a large body of evidence supporting the safety and efficacy of the endovascular treatment of iliac arterial lesions under the appropriate clinical circumstances. Although debate continues, it seems a reasonable strategy to perform angioplasty for iliac stenosis, employing stents where angioplasty alone has failed. Iliac occlusions, however, should be managed by primary stent insertion to avoid the high risk of distal embolisation. The results of iliac artery angioplasty or stenting are comparable to those of surgery, and despite the TASC recommendations, a majority of surgeons and interventional radiologists seem to favour the endovascular option wherever possible. Serious complications are relatively uncommon, but procedures should always be performed with very careful technique, including maintaining the guidewire positioned across the lesion until a satisfactory result has been confirmed. This allows the management of any complication endovascularly, meaning that it should only rarely be necessary to resort to surgery.
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Nicholson, A.A. (2007). Aortoiliac Intervention. In: Cowling, M.G. (eds) Vascular Interventional Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33255-8_6
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