SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Aortoilliac Occlusive Disease: Covered or Bare, Dr. Li

Aortoilliac Occlusive Disease: Covered or Bare, Dr. Li

Video Transcription

Video Summary

The speaker presented two iliac stent cases: a 52-year-old with acute limb ischemia from thrombosed right iliac stent treated with thrombectomy and VBX relining, and an 83-year-old with claudication and prior fem-fem bypass whose left iliac disease was treated with a bare-metal stent due to bleeding concerns. He then reviewed evidence comparing covered versus bare-metal iliac stents. Data suggest covered stents may be better for thrombotic, heavily calcified, or TASC C/D lesions, but overall evidence is limited and mixed. He emphasized close duplex surveillance after covered stent placement and noted ongoing trials may clarify best practice.

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closed captions are computer-generated

Keywords

iliac stent

covered stent

bare-metal stent

acute limb ischemia

duplex surveillance