Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms

Yano, Osvaldo J.; Morrissey, Nicholas J.; Eisen, Leon; Faries, Peter L.; Soundararajan, Krish; Wan, Stephen; Teodorescu, Victoria; Kerstein, Morris D.; Hollier, Larry H.; Marin, Michael L.

doi:10.1067/mva.2001.115380

Cited by 161 publications

(124 citation statements)

References 17 publications

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“…They may result from atherosclerosis 1,5 or as a complication of aortoiliac or aortofemoral surgery, 11,12,15 endovascular techniques, 10,16,20 or other rare causes. 9 Impaired vascularization to the hypogastric area may result in buttock or hip claudication 4,6,7,10 but also in vascular impotence, colonic ischemia, or combination of these symptoms.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2003

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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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2003

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“…the contralateral IIA or non-opacification of 3 or more named IIA branches and (b) diseased or absent ascending deep femoral branches ipsilateral to the side of the IIA occlusion (5) . In our patient, collateral IIA was patent ( Figure 1C), and the follow-up was uneventful.…”

Section: Discussionmentioning

confidence: 99%

Interventional Requirements in Cardiovascular Surgery with a Case Report: Coil Embolization

Polat¹,

Boyacıoğlu²,

Sarıoğlu³

et al. 2017

Kosuyolu Heart Journal

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Endovascular aneurysm repair (EVAR) for abdominal aortic aneurismal disease has increasingly gained widespread application. Aneurysm extends into at least one of the iliac arteries in approximately 20%-30% of patients. The presence of an internal iliac artery aneurysm is one of the most important issues that may dictate a modified approach in EVAR. Herein, we aimed to emphasize the interventional skills that surgeons should have in daily practice in a patient who had abdominal aortic aneurysm concomitantly with an internal iliac artery aneurysm. Coil embolization was performed for the internal iliac artery aneurysm.Key Words: Abdominal aortic aneurysm; endovascular procedures; iliac aneurysm; peripheral vascular diseases; coil embolization Bir Olgu Sunumu ile Kardiyovasküler Cerrahide Girişimsel Gereklilikler: Coil Embolizasyon ÖZETAbdominal aort anevrizmasının endovasküler onarımı (EVAR) giderek artan oranlarda kullanılmaktadır. Anevrizma, hastaların %20 ila %30'unda iliyak arterlerin en az birini etkilemektedir. İnternal iliyak arter anevrizması, EVAR'da modifikasyona ihtiyaç gösteren en önemli konulardan biridir. Abdominal aort anevrizması ile birlikte internal iliyak arter anevrizması da bulunan ve bu sebepten ötürü internal iliyak artere coil embolizasyonu yapılan bu olgu sunumunda cerrahların günlük pratiklerinde ihtiyaç duyabilecekleri girişimsel ihtiyaçların vurgulanmasını hedefledik.

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“…Some advocate bilateral intentional occlusion of the internal iliac arteries; in our experience over 50% of patients have complains of chronic buttock claudication following this procedure. 15 …”

Section: Implantation Sitementioning

confidence: 99%

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2001

Perspectives in Vascular Surgery

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The eligibility for endovascular stent-graft repair in patients with aortic pathologies is dictated by the presence of favorable vascular anatomy. The two main anatomic features predicting successful repair are the presence of adequate attachment sites for the device anchoring and the availability of the relatively normal access vessels for safe device navigation. This chapter describes some of the complex vascular anatomies, which can initially impede aortic endovascular repair, and the maneuvers to circumvent these initial obstacles, increasing the overall pool of patients eligible for endovascular repair of complex aortic diseases. Keywords Abdominal aortic aneurysm, endoluminal graft, stent graftIn the United States, there are approximately 200,000 new cases of abdominal aortic aneurysms (AAAs) diagnosed per year, and approximately 50,000 patients per year who have operations to have their aneurysm repaired. Thoracic aortic aneurysms have been diagnosed more frequently than in past, perhaps due to more liberal usage of imaging tests.With aging of the population, the prevalence of aortic aneurysms is increasing. One in ten men over the age of 80 has enlargement of the abdominal aorta. 1 The natural course of the aneurysms is to enlarge and rupture as the aneurysmal transverse diameter grows. Beginning with the origi-1

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Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms

Cited by 161 publications

References 17 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

Interventional Requirements in Cardiovascular Surgery with a Case Report: Coil Embolization

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