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Physicians call this aortoiliac occlusive disease because it involves the aortoiliac arteries. When your iliac arteries narrow or become blocked, your legs may not receive the blood and oxygen they need. This lack of oxygen is called ischemia and it can cause pain.
PAD often occurs in the iliac arteries, which carry blood from the abdominal aorta to the legs and feet. Often the first sign of iliac artery disease is claudication, or cramplike pain in the leg or thigh. Some people affected by PAD experience pain when walking or exercising, explains Katharine L. Krol, MD, FSIR, FACR, director of interventional radiology at CorVasc MDâs in Indianapolis.