Presented herein are the results of endovascular interventions carried out in patients with occlusive lesions of the terminal portion of the aorta and iliac arteries (types C and D according to the TASC II classification). The study comprised a total of 45 subjects with type C and D lesions. The technical success rate in the group of patients with type C lesions amounted to 100% and in the group of those with type D lesions to 92.8%. One-year primary patency of iliac arteries after the endovascular intervention was assessed in 40 patients and amounted to 100% for type C lesions and to 92.8% for type D lesions. The obtained findings are strongly suggestive of a possibility of extending the indications for endovascular surgical interventions in management of patients with type C and D lesions, which makes it possible to achieve good immediate and remote results. This type of treatment may be regarded as a method of choice before further considering feasibility of an open surgical intervention.