ACR AC Portal

Home Management of Iliac Artery Occlusive Disease

Variants

Adult. Past medical history significant for diabetes mellitus, hypertension, and smoking. Increasing claudication of right lower-extremity involving right buttock for the last 3 months. CTA pelvis with runoff reveals short-segment occlusion of the right common iliac artery (TASC B). Initial therapy.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Adult. Past medical history significant for diabetes mellitus, hypertension, and smoking. Increasing claudication of right lower-extremity involving right buttock for the last 3 months. CTA pelvis with runoff reveals short-segment occlusion of the right common iliac artery (TASC B). Initial therapy.

3198465

Antiplatelet adjunctive therapy

Usually appropriate

Best medical management including supervised exercise program

Usually appropriate

Primary stent placement aortoiliac arterial segment

May be appropriate

Anticoagulation adjunctive therapy

May be appropriate

Percutaneous transluminal angioplasty aortoiliac arterial segment

Usually not appropriate

Surgical revascularization

Usually not appropriate