Classification by Localization


Aortic Type

This occlusion is found below the renal artery exit. This form is responsible for just 3% to 6% of the obliterations of the lower extremities. A segmental occlusion of the aortoiliac region is to be considered when: it involves a young patient (< 50 years of age); there is claudication of the hips, of the buttocks and of the back; only minimal discolorations and temperature changes are evident; the femoral arterial pulse is weakly palpable; and all peripheral pulses are lacking.

Pelvic Type

The occlusive processes lie frequently in the external, common and / or internal iliac aorta. Intermittent claudication exists in the pelvic area and in the thighs, less frequently in the calves. Pain at rest and necroses are rare.

Upper Leg

In the thigh type occlusions are found in the area of the superficial femoral artery and the deep femoral artery. In 50% of all cases, it is the most frequently found type of occlusion and is mostly found in patients over 60 years of age.
The most important symptom is the intermittent claudication of the calves. No pulse can be felt below the femoral artery.

Lower Leg

These occlusions are located in the popliteal artery, posterior tibial artery, or the anterior fibular artery. As a symptom, the intermittent claudication affects the instep of the foot or the toes. Insufficient colateral formation can lead to necroses at the end of the phalanges and also lead to problems with toenail growth. The peripheral pulse is lacking.