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Aortoiliac occlusive disease
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Aortoiliac occlusive disease

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Contributors: Ryan Hoefen MD, PhD
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Synopsis

Narrowing or blocking of iliac arteries caused by plaque buildup. Very common condition; typically occurs in older adult males, though any adult can be affected. Risk factors include smoking, hypercholesterolemia, hypertension, obesity, family history of heart disease, diabetes mellitus, Takayasu arteritis, or thromboangiitis obliterans. The most characteristic symptom is intermittent lower limb claudication defined by cramping in calf, thigh, hip, or buttock muscles following exercise. Other symptoms include erectile dysfunction, decreased femoral pulse, cold extremities, and/or signs of advancing disease such as ischemic ulcers on lower extremities, muscle weakness, and lower limb paresthesia.

Treatment includes lifestyle changes, endovascular therapy, and medication to decrease clotting risk.

Codes

ICD10CM:
I74.09 – Other arterial embolism and thrombosis of abdominal aorta

SNOMEDCT:
233956002 – Aortoiliac atherosclerosis

Differential Diagnosis & Pitfalls

Best Tests

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References

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Last Updated: 09/14/2016
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Aortoiliac occlusive disease
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Aortoiliac occlusive disease : Claudication, Erectile dysfunction, Leg cramp, Buttock pain
Copyright © 2019 VisualDx®. All rights reserved.