Aortoiliac occlusive disease is a peripheral arterial disease that occurs when one or more of the primary arteries in the pelvis become narrowed or blocked completely. The condition is caused by atherosclerosis, or hardening of the arteries.
There is a range of symptoms associated with aortoiliac disease that occur at different points in its progression. Some of the main symptoms include cramping/pain or fatigue during exercise (disappearing during rest) in the thigh, leg, and buttock areas.
More severe symptoms can include continuous pain or coldness/numbness in the legs, sores on the lower leg or heels and toes, atrophy/shrinking of muscles, and even gangrene in the most serious cases.
Plaque buildup in the arteries is the primary cause of aortoiliac occlusive disease, and the risk factors for this condition include smoking and high blood pressure/high cholesterol.
Treating Aortoiliac Disease
As with many vascular conditions, making immediate modifications toward a healthier lifestyle can be a big factor in treating the disease when combined with medications that will increase blood flow and/or reduce clotting. Because of the high degree of foot sores, getting regular treatment of these will help reduce the risk of gangrene (which could lead to the need for amputation).
For more severe cases, there are several surgical options, ranging from angioplasty/stenting/catheterization to full bypass surgery.