ACR Appropriateness Criteria ® Iliac Artery Occlusive Disease

Publication date: November 2017 Source:Journal of the American College of Radiology, Volume 14, Issue 11, Supplement Author(s): Alexander Z. Copelan, Baljendra S. Kapoor, Ali F. AbuRahma, Thomas R. Cain, Drew M. Caplin, Khashayar Farsad, M-Grace Knuttinen, Margaret H. Lee, Joseph J. McBride, Jeet Minocha, Stephen P. Reis, Paul J. Rochon, Colette M. Shaw, Jonathan M. Lorenz Iliac artery occlusive disease can present as a sudden-onset acute thrombotic or thromboembolic event or as a chronic progressive atherosclerotic process that presents as claudication progressing to rest pain. Depending on the clinical presentation, the diagnosis is usually confirmed through Doppler vascular ultrasound, CT angiography, or MR angiography; the choice of imaging is usually based on modality availability and the presence of patient comorbidities such as chronic kidney disease. The Trans-Atlantic Inter-Society Consensus II classification system is commonly used to describe the extent of the peripheral vascular disease. Depending on the pathophysiology, clinical presentation, and radiologic extent of the disease process, therapeutic options for acute thrombotic cases can include supportive care, anticoagulation, thrombolytic therapy, surgical or catheter-directed mechanical thrombectomy, and surgical bypass. Therapeutic options for atherosclerotic disease include supportive measures such as behavior modification, a supervised exercise program, adjunctive treatment with anticoagula...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research