Combined use of iliac artery angioplasty and infrainguinal revascularization for treatment of multilevel atherosclerotic disease

The purpose of this report is to review our recent experience with the comb ined use of iliac artery angioplasty and infrainguinal surgical revasculari zation for the treatment of multilevel atherosclerotic disease. A retrospec tive review of all patients with multilevel atherosclerotic disease who wer e treated with both iliac artery angioplasty and infrainguinal bypass surge ry during a 4-year period was performed. The medical records and preoperati ve arteriograms of all patients were reviewed for demographic information, radiologic findings, and postoperative follow-up data. Ninety-three limbs i n 87 patients were studied. There were 57 male and 30 female patients with an average age of 67.2 years (range: 38-90). We concluded that the combined use of iliac artery angioplasty and infrainguinal surgical revascularizati on is an effective and durable means of treating multilevel atherosclerotic disease.