Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure

Milite, Domenico; Campanile, Francesco; Tosato, Federico; Pilon, Fabio; Zaramella, Massimiliano

doi:10.1510/icvts.2009.216846

Cited by 18 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Different surgical solutions have been designed to restore hypogastric perfusion. Many surgeons prefer a retrograde IIA revascularization with relocation of the IIA to the external iliac or femoral arteries via a retroperitoneal approach to avoid extensive pelvic dissection, reduce trauma to the abdominal wall musculature, and achieve less postoperative patient discomfort [6]. However, in our case, we believe the best choice to restore buttock circulation was to perform direct revascularization.…”

Section: Discussionmentioning

confidence: 82%

Persistent Buttock Claudication after Endovascular Abdominal Aortic Aneurysm Repair

Robaldo

Pagliari

Piaggio

et al. 2017

Aorta

View full text Add to dashboard Cite

We describe the successful surgical treatment of a 71-year-old man affected by right buttock claudication after a right internal iliac artery (IIA) coil embolization as an adjunct to endovascular iliac artery aneurysm repair. Computed tomography angiography revealed extensive aortoiliac calcifications and thrombus in the vessel walls. Despite patency of the contralateral IIA and preservation of right distal collateral flow through ipsilateral hypogastric branches, the symptom was persistent and disabling. The high-risk patient underwent an “open” repair of the infrarenal abdominal aneurysm with removal of the entire stent-graft and concomitant revascularization of the right IIA. Post-operative recovery was uneventful, and the patient remained asymptomatic during a 30-month follow-up. This case underscores the importance of considering all potential solutions, including open surgery, to preserve pelvic inflow after aortoiliac stent grafting, particularly for high-risk patients with vulnerable plaque and higher risk of thrombus embolization.

show abstract

Section: Discussionmentioning

confidence: 82%

Persistent Buttock Claudication after Endovascular Abdominal Aortic Aneurysm Repair

Robaldo

Pagliari

Piaggio

et al. 2017

Aorta

View full text Add to dashboard Cite

show abstract

“…Восстановление кровотока хотя бы по одной исходно проходимой ВПА, особенно в ситуации, когда НБА окклюзирована, должно выполняться обязательно в связи с высоким риском развития ишемии органов малого таза, спинного мозга, высокой перемежающейся хромоты [1]. Однако ряд авторов указывают на развитость и достаточность коллатерального кровотока из бассейна глубоких бедренных артерий для купирования негативных последствий выключения из кровотока ВПА [13,14]. Прекращение магистрального кровотока по одной из двух проходимых ВПА почти у 1 / 3 больных приводит к появлению или усугублению высокой перемежающейся хромоты, а у мужчин -к эректильной дисфункции, что негативно влияет на качество жизни больных в отдаленном периоде [13,14].…”

Section: исходное состояние проходимости артерий у исследуемой группыunclassified

“…Однако ряд авторов указывают на развитость и достаточность коллатерального кровотока из бассейна глубоких бедренных артерий для купирования негативных последствий выключения из кровотока ВПА [13,14]. Прекращение магистрального кровотока по одной из двух проходимых ВПА почти у 1 / 3 больных приводит к появлению или усугублению высокой перемежающейся хромоты, а у мужчин -к эректильной дисфункции, что негативно влияет на качество жизни больных в отдаленном периоде [13,14]. В доступной литературе мало внимания уделено отдаленным результатам прямой реваскуляризации ВПА при резекции АИСА.…”

Section: исходное состояние проходимости артерий у исследуемой группыunclassified

Long-Term Results of Reconstruction of the Inferior Mesenteric and Internal Iliac Arteries During Resection of the Aneurysm of the Infrarenal Aortic Segment

Бедров¹,

Moiseev²,

Белозерцева³

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

View full text Add to dashboard Cite

The OBJECTIVE is to assess the patency of the inferior mesenteric artery and internal iliac arteries in the remote period after resection of the aneurysm of the infrarenal aortic segment. MATERIAL AND METHODS. The study included 33 patients who underwent resection of the abdominal aortic aneurysm with reconstruction of the inferior mesenteric artery and (or) internal iliac arteries from 1998 to 2017. All patients were examined with computed tomography scan with contrast to assess the patency of inferior mesenteric artery and internal iliac arteries. RESULTS. Patients were observed from 0.5 to 15 years. Among 30 patients with inferior mesenteric artery implanted into the prosthesis, 23 (76 %) patients had a passable inferior mesenteric artery and 7 patients had an occluded inferior mesenteric artery. The implanted inferior mesenteric artery maintained its patency for 3 years in 100% of cases, from 3 to 5 years – in 86%, after 5 years and more – in 62%. In one patient who underwent reconstruction of the internal iliac artery, thrombosis of the prosthetic-internal iliac shunt was found out in 1.5 years after the operation, without any clinical manifestations. One patient, underwent the reconstruction of the internal iliac artery, was diagnosed with thrombosis of the prosthetic-internal iliac shunt in 1.5 years after the operation, which was not accompanied by clinical manifestations. CONCLUSION. The high remote patency of the inferior mesenteric artery and internal iliac arteries reconstructed during resection of the aneurysm of the infrarenal aortic segment indicates the need for this procedure in order to prevent ischemic disorders of the digestive organs and pelvis.

show abstract

“…Уменьшению прогностической ценности разработанной шкалы способствуют большое количество факторов риска, имеющих значение в возникновении ИК [3,4,6,8]. Среди них: 1) продолжительность ишемии ободочной кишки вследствие пережатия аорты; 2) объем кровопотери; 3) долихосигма; 4) манипуляционная травма сосудов брыжейки и стенки сигмовидной кишки; 5) персистирующая гипотензия; 6) повреждение значимых артериальных коллатералей при выделении аневризмы или укрытии протеза аутотканями; 7) холестероловая эмболия проходимых НБА и ВПА.…”

Section: о б с у ж д е н и е в отечественной и заруunclassified

Predictive Risk Assessment Scale of Ischemic Colitis Development in Patients With Elective Infrarenal Aortic Aneurism Repair

Yaitsky

Bedrov

Moiseev

et al. 2017

VESTNIK KHIRURGII IMENI I.I.GREKOVA

View full text Add to dashboard Cite

The article presents the scale developed by authors of prognostic assessment of ischemic colitis evolution in patients after planned resection of infrarenal aortic aneurism. A retrospective analysis of medical histories of 201 operated patients and statistical data manipulation were made at the period from 1985 to 2016. It was stated, that score less than 2 points represents patients of high risk group of ischemic colitis development. The scale of sensitivity consisted of 80% and scale of specificity - 63,4%. The score of developed scale depended of passability and blood flow condition in the inferior mesenteric, the right and left internal iliac arteries being evaluated during surgery. The aim of surgeons is to increase the number of points in the scale using revascularization of the inferior mesenteric and at least one of internal iliac artery in patients of the high risk group of ischemic colitis development.

show abstract

Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure

Abstract: In our experience, direct revascularization of the hypogastric artery to ensure pelvic vascularization in aortoiliac surgery appears a safe procedure.

Cited by 18 publications

References 18 publications

Persistent Buttock Claudication after Endovascular Abdominal Aortic Aneurysm Repair

Persistent Buttock Claudication after Endovascular Abdominal Aortic Aneurysm Repair

Long-Term Results of Reconstruction of the Inferior Mesenteric and Internal Iliac Arteries During Resection of the Aneurysm of the Infrarenal Aortic Segment

Predictive Risk Assessment Scale of Ischemic Colitis Development in Patients With Elective Infrarenal Aortic Aneurism Repair

Contact Info

Product

Resources

About