Atherosclerotic occlusive disease of the aortic crossroads and iliac axes is the preferred site for atherosclerotic disease which is a general disease that can affect all medium- and large-caliber arteries.The management of these patients has benefited from advances in diagnostic imaging based on ultra-sonographic CT and angiographic explorations. The therapeutic options for aorto-iliac occlusive disease are endovascular and surgical treatment both of which have undergone considerable expansion aided by increasingly high-performance imaging tools. Endovascular treatment is indicated mainly for focal lesions of moderate length whereas surgery is indicated for patients with long multiple lesions. Surgery is associated with a significant morbidity and mortality rate dominated by cardiac and digestive complications.
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