• Complaints of slowly progressing distress in the calf, thigh, hip, or back, induced by exercise and relieved by rest, can signify occlusion of the terminal aorta or iliac arteries. The distress is described as pain or as a sensation of fatigue identical to claudication, and is usually accompanied by absence or diminution of the arterial pulsations in the lower extremities. Translumbar aortography is used to confirm the diagnosis. Surgical treatment of occlusive disease offered improvement for 87.8% of the 49 patients with aortic occlusion and showed an 84 % improvement rate for the 25 patients with iliac occlusion.
Welch JS, Kirklin JW, Ellis FH, Bruwer AJ. RESECTION AND GRAFTING FOR CHRONIC OCCLUSION OF THE TERMINAL AORTA OR ILIAC ARTERIES. JAMA. 1957;164(10):1045-1049. doi:10.1001/jama.1957.02980100001001