Home Management of Iliac Artery Occlusive Disease
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Adult. Past medical history significant for diabetes mellitus, hypertension, and heavy smoking. Gradually increasing claudication of bilateral lower extremities for at least 2 months. CTA pelvis with runoff reveals bilateral common iliac artery occlusion without any involvement of the external or internal iliac artery (TASC C). Initial therapy. 3198466
Antiplatelet adjunctive therapy


Usually appropriate
Best medical management including supervised exercise program


Usually appropriate
Anticoagulation adjunctive therapy


May be appropriate
Bilateral primary stent placement aortoiliac arterial segment


May be appropriate
Bilateral percutaneous transluminal angioplasty aortoiliac arterial segment


Usually not appropriate
Surgical revascularization


Usually not appropriate