A double bifurcated graft for abdominal aorta and bilateral iliac artery reconstruction

Akiyama, K; Takazawa, Arifumi; Hirota, Jun; Yamanishi, Hiroshi; Akazawa, Toshimasa; Maeda, Takeshi

doi:10.1007/bf02483054

Cited by 14 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is controversial whether a more extensive approach toward revascularization of the internal iliac arteries is needed to limit the risk of postsurgical proximal ischemia in aortobifemoral bypass. 12,14,15 This may be attributable to the difficulty in proving the vascular origin of the symptoms by using noninvasive methods. Recently, there has been a renewed interest in hip/buttock claudication caused by lesions in one or both of the internal iliac arteries because of the development of endovascular procedures that allow easier access to these vessels compared with surgical techniques.…”

mentioning

confidence: 99%

Transcutaneous Oxygen Pressure Measurements on the Buttocks During Exercise to Detect Proximal Arterial Ischemia

et al. 2003

View full text Add to dashboard Cite

Background-We sought to identify whether transcutaneous oxygen tension (tcPO 2 ) measurements could be used to noninvasively detect lesions in the arterial network supplying blood flow to the hypogastric circulation. Methods and Results-A study was undertaken in vascular patients with suspected (PC, nϭ43) and not with suspected (NPC, nϭ34) proximal ischemia. TcPO 2 was measured on both buttocks and with a chest reference electrode. Arteriography on the right or left side was positive for stenoses (Ն75%) or occlusion of one or more of the following arteries: the aorta, the common iliac arteries, or the internal iliac arteries.

show abstract

mentioning

confidence: 99%

Transcutaneous Oxygen Pressure Measurements on the Buttocks During Exercise to Detect Proximal Arterial Ischemia

et al. 2003

View full text Add to dashboard Cite

show abstract

“…Representa de 2 a 7% dos aneurismas intra-abdominais 3,4 , ocorrendo principalmente na sétima década de vida 1,2 .…”

unclassified

“…Apesar de geralmente permanecerem assintomáti-cos 1,3,4 , tendo seu diagnóstico durante exames rotineiros de imagem 3 , quando sintomáticos, os aneurismas das artérias ilíacas podem levar à dor, compressão de órgãos vizinhos, ruptura para estruturas adjacentes 2 , trombose e embolização 4 . São relatados sintomas vagos de dor abdominal e no quadril, queixas geniturinárias e claudicação 1 .…”

unclassified

“…Devido ao grande tamanho desses aneurismas à época do diagnóstico e à sua topografia na pelve, a cirurgia aberta representa um desafio, com riscos de hemorragia, secundária à lesão de veias adjacentes, e lesões do trato urinário 7 . Atualmente, o tratamento endovascular desses aneurismas vem sendo descrito na literatura, mas ainda com poucos casos, devido à sua raridade, e resultados controversos 3,4,9 .…”

unclassified

See 1 more Smart Citation

Aspectos cirúrgicos dos aneurismas isolados das artérias ilíacas

Carvalho¹,

Prado²,

Neto³

et al. 2006

J. vasc. bras.

View full text Add to dashboard Cite

203 ResumoObjetivo: Discorrer sobre os aspectos clínicos e o tratamento cirúrgico de uma série de casos de aneurismas isolados das artérias ilíacas.Métodos: Foram analisados retrospectivamente os dados protocolados e os prontuários de 12 pacientes com diagnóstico de aneurisma isolado das artérias ilíacas, operados no Departamento de Cirurgia da Santa Casa de São Paulo, no período de novembro de 1999 a fevereiro de 2003.Resultados: A freqüência do aneurisma isolado das artérias ilíacas foi de 1,5% dos aneurismas abdominais operados no período do estudo. A faixa etária variou entre 56 e 80 anos, 33% dos doentes apresentavam aneurisma bilateral, e os diâmetros dos aneurismas variaram entre 2,0 e 8,5 cm. Em 83% dos casos, os pacientes encontravam-se sintomáticos no momento do tratamento. Em nenhum dos casos o aneurisma se encontrava roto. A via de acesso utilizada nos aneurismas unilaterais foi a extraperitoneal homolateral à dilatação e, nos aneurismas bilaterais, a transperitoneal, longitudinal ou transversa. Não dissecamos o segmento posterior das artérias ilíacas para clampeamento, para evitar a ocorrência de lesão venosa intra-operatória. Não observamos mortalidade no período peroperatório. Em todos os casos, preservamos pelo menos uma artéria ilíaca interna.Conclusão: A via de acesso para os aneurismas isolados das artéri-as ilíacas deve ser individualizada. A preservação de pelo menos uma artéria ilíaca interna constitui uma regra a ser observada, bem como deve-se evitar a dissecção circunferencial das artérias ilíacas no intraoperatório.Palavras-chave: Aneurisma, artéria ilíaca, isolado, tratamento, cirurgia. AbstractObjective: To discuss clinical aspects and surgical treatment of a series of cases of isolated iliac artery aneurysms.Methods: Protocol data and medical charts of 12 patients with diagnosis of isolated iliac artery aneurysm were retrospectively analyzed. The patients underwent surgery at the Department of Surgery of Santa Casa de São Paulo, from November 1999 to February 2003.Results: Frequency of isolated iliac artery aneurysm was 1.5% of abdominal aneurysms who underwent surgery in the period under investigation. Age group ranged between 56-80 years, 33% of patients presented bilateral aneurysm, and aneurysm diameters ranged between 2.0-8.5 cm. In 83% of cases, the patients were symptomatic during treatment. Aneurysms were not ruptured in any case. Extraperitoneal approach ipsilateral to the dilatation was used in unilateral aneurysms, and transperitoneal approach, longitudinal or transverse, in bilateral aneurysms. We did not dissect the posterior segment of the iliac arteries for clamping, in order to avoid intraoperative venous lesion. There were no deaths during the surgery. In all cases, we preserved at least one internal iliac artery.Conclusion: Approach to isolated iliac artery aneurysms should be chosen on an individual basis. Preserving at least one internal iliac artery is a rule to be observed. Circumferential dissection of iliac arteries during the surgery should be avoided.

show abstract

“…This graft was released in 2000 in Europe and March 2008 in Japan. The first clinical report was by Cruz et al [4], which reported on the use of a quadrifurcated prosthesis in one case of AAA with iliac arterial lesion, and Akiyama et al [5] reported on favorable results in five cases. Recently, the number of cases of open surgery for AAA with iliac arterial aneurysm or occlusive disease have been increasing, and InterGard TM Quadrifurcated is expected to have more opportunities to deal with these complex cases [1].…”

Section: Discussionmentioning

confidence: 99%

Surgical repair for abdominal aortic aneurysm concomitant with iliac arterial disease using InterGard™ Quadrifurcated

et al. 2012

View full text Add to dashboard Cite

InterGard™ Quadrifurcated [InterVascular S.A. (MAQUET Cardiovascular), La Ciotat, France], a knitted quadrifurcated prosthetic graft, is useful to simplify the procedures for patients with abdominal aortic aneurysm concomitant with iliac arterial disease. From March 2008 to April 2010, 59 patients underwent abdominal aortic aneurysm repair in our department. InterGard™ Quadrifurcated was used in 22 patients (37.3%). All patients were male with a mean age of 72.1 ± 12.1 years (range from 45 to 90 years). Four were emergency cases. Nineteen patients had common iliac arterial lesions, and 19 patients had internal iliac arterial lesions. In addition to abdominal aortic aneurysm repair, reconstruction of bilateral internal iliac arteries was performed in 4 patients, reconstruction of unilateral internal iliac artery in 15 (right 6, left 9), and internal mesenteric artery in 13. There was one hospital death due to nonocclusive mesenteric infarction. There were two complications, which were intestinal perforation and intestinal obstruction. All of these three cases were emergency cases. Computed tomography scan 1 week after operation showed that all reconstructed grafts were patent. Although patients with abdominal aortic aneurysm concomitant with iliac arterial disease had many preoperative comorbidities, surgical results with InterGard™ Quadrifurcated were satisfactory. It is useful to simplify the procedures for these patients.

show abstract

A double bifurcated graft for abdominal aorta and bilateral iliac artery reconstruction

Cited by 14 publications

References 10 publications

Transcutaneous Oxygen Pressure Measurements on the Buttocks During Exercise to Detect Proximal Arterial Ischemia

Transcutaneous Oxygen Pressure Measurements on the Buttocks During Exercise to Detect Proximal Arterial Ischemia

Aspectos cirúrgicos dos aneurismas isolados das artérias ilíacas

Surgical repair for abdominal aortic aneurysm concomitant with iliac arterial disease using InterGard™ Quadrifurcated

Contact Info

Product

Resources

About