Autogenous internal iliac artery bypass in the surgical treatment of renovascular hypertension: A case report

1978 ◽  
Vol 8 (1) ◽  
pp. 34-40
Author(s):  
Noriaki Yamamoto ◽  
Ryoji Hatano ◽  
Makoto Sunamori ◽  
Takashi Yamada ◽  
Kyoichi Okamura ◽  
...  
2015 ◽  
Vol 05 (03) ◽  
pp. 105-106
Author(s):  
Rani Nallathamby ◽  
Ramakrishna Avadhani ◽  
Sivarama C. H. ◽  
Meril Ann Soman ◽  
Meera Jacob

AbstractMost commonly, the Obturator artery arises from the anterior trunk of internal iliac artery. However, origin of the Obturator artery from external iliac artery was reported at 25% by Missankov et al. [3], 1.1% by Bergman et al. [1], 1.3% by Jakubowicz and Czerniawska- Grzesinska [2].Due to its high frequency of variations in course and origin, Obturator artery had drawn the attention of anatomists, surgeons and radiologists. In this case report, we are presenting an anomalous origin of right Obturator artery from right external iliac artery. The knowledge of this variation is important anatomically, radiologically and surgically.


VASA ◽  
2003 ◽  
Vol 32 (2) ◽  
pp. 103-107
Author(s):  
Nett ◽  
Pfammatter ◽  
Turina ◽  
Lachat

Bilateral common iliac artery (CIA) aneurysms are rare, but more frequently symptomatic than abdominal aortic aneurysms (AAA). In elderly patients with coexisting medical problems, transluminal and/or endovascular procedures are preferred to avoid the risk of morbidity and mortality associated with further general anesthesia and surgery. However, bilateral internal iliac artery (IIA) occlusion during endovascular repair might be associated with significant morbidity, including gluteal claudicatio, and ischemia of the sigmoid colon and perineum. In the presented case report we describe the successful repair of bilateral CIA aneurysms by a total transluminal and endovascular approach. The potentially reversible embolisation of the less diseased IIA with detachable latex balloons preceded the implantation of a bilateral endovascular Y-stent. Both CIA aneurysms were successfully excluded from circulation. No complications were noted and the patient could be discharged four days after surgery. Probationary detechable balloon embolisation of the IIA followed by implantation of an endovascular bifurcated stentgraft is a safe technique. It allows clinical monitoring of acute ischemic complications before bilateral IIA occlusion by the stentgraft. In comparison to coil embolisation these balloons may be easier to remove if for instance, an external-internal iliac artery bypass is needed. Percutaneous balloon puncture might be another option to reverse acute ischemia.


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