X-ray endovascular treatment of patients with stenotic-occlusive lesion of the aorto-iliac segment

Introduction. Chronic ischemia of the lower extremities is one of the most common manifestations of atherosclerotic disease in patients of the older age group. Stenotic-occlusive lesion of the aorto-iliac segment can be observed in more than 30 % of such patients. Currently, such patients can be treated by surgical methods (endarterectomy, aorto-iliac or aorto-femoral bypass surgery). Long-term postoperative studies show satisfactory results, but these operations are associated with a high risk of complications and mortality. Recently, there have been changes in views on approaches to the treatment of this pathology. Endovascular methods are becoming increasingly preferred, especially in elderly patients with severe concomitant pathology, even with extensive atherosclerotic vascular lesions.Conclusion. Currently, given the tendency to increase the number of elderly patients with concomitant pathology, the occurrence of severe prolonged atherosclerotic disease, the use of endoprosthesis may be the preferred strategy, especially in highly calcified lesions, when there is an increased risk of vessel rupture. This is the safest and most effective method of revascularization.