Materials&methods: This a prospective study assessing patients with chronicatherosclerotic FCIAOD presenting to our hospital along the period of 6 months. We defined FCIAOD as more than 90% occlusion of diameter of CIA with less than 2 mm patent iliac stump from its origin from the abdominal aorta.Results: Our study included 43 cases. Technical success was achieved in 40patients (93%). 34 cases were done via 2 accesses (27 cases via bilateralfemoral,& 7 cases via one femoral and brachial access) 1ry stenting was done inall cases.26 cases were treated by unilateral stents (2 balloon-mounted & 24self-expandable) and 14 cases were treated by kissing stents (6 balloon-mounted & 8 self-expandable).Prestent dilatation was selectively used in 32 cases. Follow up (6 months) revealed 33 cases with patent stents& no residual stenosis. 4 cases of restenosis, (treated by PTA +/-stenting). 3 cases of contralateral iliac occlusion2 months later,( 2 were treated by CIA stents &1 by surgery). 1 case of stent premature deployment in external iliac artery with no adverse effect.Conclusions: Endovascular treatment provides a successful option for themanagement of FCIAOD with a technical success rate of 93%. Technicalconsideration includes the use of 2 accesses as a rule &the option of selective use of prestent dilatation. FCIAOD does not preclude the use of unilateral stent in CIA, which can be completed to kissing stents if needed.