Intermittend claudication

Intermittend claudication is a benign form of periferal arterial occlusive disease.

Typically these patients have 'single level' disease usually an isolated stenosis in the iliac or femoral artery.

Mostly these patients are treated with risk factor management and exercise training.

There is only a relative indication for invasive therapy in order to relief the symptoms ( usually PTA, sometimes surgery).

Only a limited number of these patients will progress to more severe disease i.e. critical ischemia.

When MRA is performed in these patients perfect imaging of lower leg and feet is not the issue since no surgeon will perform a infragenual procedure in patients with these complaints.

A one-step examination from aorta to the lower leg will usually be sufficient and venous filling is usually no issue.

Patient with intermittend claudication on the left and an isolated stenosis in the left iliac artery.