The most common options for inline treatment are aortoiliac endarterectomy, which is rarely performed, and aortobifemoral bypass. The latter operation has an excellent long-term patency and is well-tolerated in appropriately selected patients.

Endovascular techniques play a crucial role in the treatment of aortoiliac occlusive disease. Treatment should be tailored to the individual patient’s symptoms and comorbidities, as well as the location and extent of disease. We offer the most recent techniques in the endovascular management of aortoiliac occlusive disease.

Open surgical lower extremity arterial bypass remains the most durable option for infrainguinal revascularization for chronic atherosclerotic occlusive disease. Infrainguinal bypass is defined as any major arterial reconstruction using a bypass conduit, whether it be autogenous or prosthetic, originating at or below the inguinal ligament. Improvements in patient evaluation and selection and in the conduct of infrainguinal bypass operations have resulted in more successful approach to distal arterial reconstruction.

The most important keys to success when performing lower extremity bypass are the caliber and quality of the venous conduit and the application of meticulous postoperative duplex and hemodynamic-based surveillance. We offer multiple methods and techniques for obtaining a nearly “all-autogenous policy” for infrainguinal bypass and also addresses use of prosthetic conduits with adjunctive techniques to optimize bypass outcomes when vein is truly lacking. Use of alternative veins and alternate anatomic exposures of a variety of lower extremity arteries are also done in our centre especially in redo cases or particularly challenging anatomy, especially when faced with limited available vein conduit.

We offer Endovascular Treatment of infra-inguinal disease in patients presenting with intermittent claudication and chronic limb threatening ischaemia (CLTI) like drug coated balloons, drug eluting stents & low profile systems. The use of novel access points under ultrasound improved anatomical outcomes.