Aortoiliac occlusive disease, also known as Leriche’s syndrome is an advanced and late complication of atherosclerotic vascular disease.it is a chronic disease resulting from progressive atherosclerotic and thrombotic accumulation. Patients can present with symptoms ranging from life-limiting claudication to limb-threatening ischemia requiring amputation.
While Indications for intervention include life-limiting claudication, rest pain and tissue loss, the goal of treatment involves re-establishment of inflow to the lower extremities and pelvis.
Angioplasty, also known as balloon angioplasty and percutaneous transluminal angioplasty (PTA) is employed in such a case. It is a minimally invasive procedure to widen narrowed or obstructed arteries or veins. A deflated balloon attached to a balloon catheter is passed over a guide-wire into the vessel when the narrowed part is reached it is inflated to a fixed size. The balloon expands the blood vessel and the surrounding muscular wall, allowing an improved blood flow. The balloon is then deflated and withdrawn. A stent may be placed to assure patency.
It is safe and well tolerated procedure with good results.