ACR AC Portal

Home Management of Iliac Artery Occlusive Disease

Variants

Adult. Known atrial fibrillation and spine surgery performed within the past month. Sudden-onset right lower-extremity pain. Diminished pulses in right lower-extremity. CTA demonstrates isolated filling defect in right common iliac artery. Initial therapy.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Adult. Known atrial fibrillation and spine surgery performed within the past month. Sudden-onset right lower-extremity pain. Diminished pulses in right lower extremity. CTA demonstrates isolated filling defect in right common iliac artery. Initial therapy.

3198463

Anticoagulation adjunctive therapy

Usually appropriate

Catheter-directed mechanical thrombectomy

Usually appropriate

Surgical revascularization

Usually appropriate

Antiplatelet adjunctive therapy

May be appropriate

Catheter-directed thrombolytic therapy

May be appropriate
(Disagreement)

Percutaneous transluminal angioplasty iliac artery

Usually not appropriate

Primary stent placement iliac artery

Usually not appropriate