Recanalización del eje arterial ilíaco.

The occlusive arterial disease caused by atherosclerosis has been widely documented and its impact is well known in health care systems. It is also the first cause of major amputations around the world. The aortoiliac occlusive pattern is more frequent in young patients with smoking habit. Its main symptom is intermittent claudication or critical limb threatening ischemia. Thus, different surgical techniques have evolved through the years to achieve higher patency rates with lower morbidity. The objective of this paper is to present chronologic research of the different techniques as well as the actual short and medium-term patency reports. A search of articles indexed in Pubmed, Medline and Scielo in the last 15 years resulted in a total of 42 papers, results were thoroughly reviewed, and we discarded those that did not report the patency rates. Although endovascular techniques cannot offer the same long-term patency rates that conventional surgery, they offer similar results in medium-term with lower morbimortality rates. Currently conventional surgery is still the gold-standard in young candidates, yet in a non-distant future endovascular technique could achieve similar patency rates. [ABSTRACT FROM AUTHOR]