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Anatomical significance in aortoiliac occlusive disease
Author(s) -
Wooten Candace,
Hayat Munawar,
Plessis Maira,
Cesmebasi Alper,
Koesterer Michael,
Daly Kevin P.,
Matusz Petru,
Tubbs R. Shane,
Loukas Marios
Publication year - 2014
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.22444
Subject(s) - medicine , claudication , occlusion , occlusive arterial disease , aortoiliac occlusive disease , aorta , arterial disease , intermittent claudication , radiology , peripheral arterial occlusive disease , occlusive , vascular disease , peripheral , surgery
Aortoiliac occlusive disease is a subset of peripheral arterial disease involving an atheromatous occlusion of the infrarenal aorta, common iliac arteries, or both. The disease, as it is known today, was described by the French surgeon René Leriche as a thrombotic occlusion of the end of the aorta. Leriche successfully linked the anatomic location of the occlusion with a unique triad of symptoms, including claudication, impotence, and decreased peripheral pulses. The anatomical location of the atheromatous lesions also has a direct influence on classification of the disease, as well as choice of treatment modality. Considering its impact on diagnosis and treatment, we aimed to provide a detailed understanding of the anatomical structures involved in aortoiliac occlusive disease. Familiarity with these structures will aid the physician in interpretation of radiologic images and surgical planning. Clin. Anat. 27:1264–1274, 2014. © 2014 Wiley Periodicals, Inc.