随着血管腔内技术和器材的不断进步以及对主髂动脉闭塞腔内治疗认知的不断加深，腔内治疗已成为主髂动脉闭塞常规选用的治疗方法。治疗包括入路选择、闭塞段的开通和再血管化。其技术成功率有赖于合理选择入路、长血管鞘与捕捉器的应用、再血管化前的溶栓治疗、内膜下成形术和超声消融的辅助应用。然而，腔内治疗的远期效果尚须进一步随访。

Transluminal treatment of aortoiliac artery occlusions WU Dan-ming. Department of Vascular Surgery,People’s Hospital of Liaoning Province,Shenyang 110016,China Abstract With the development of transluminal technique and devices, and with surgeon’s and patients’ deepening awareness of aortoiliac transluminal treatment, transluminal technique has become the primary choice for aortoiliac occlusive diseases. The method includes acess selecting, recanalization of occlusions and revascularization.Technical success is associated with reasonable access, long sheath and capture devices usage, thrombolysis prior to revascularization, subintimal angioplasty and ultrasonic ablation. However, the future outcomes of transluminal technique require further follow-up.