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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.
The iliac artery is a very important artery for blood flow to the legs. The human heart uses this iliac artery as a direct lane down to your legs. This blood is important to keeping your legs working properly. Oxygen, energy and various other life giving compounds are in that blood.