Ectopic Vascularization of the Right Kidney by a Contralateral Origin of the Main Renal Artery from the Left Common Iliac Artery: Report of a Case

Surgery Today ◽  
2001 ◽  
Vol 31 (4) ◽  
pp. 371-373 ◽  
Author(s):  
Zuhir Halloul ◽  
Frank Meyer ◽  
Thomas Buerger
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Left Common Iliac Artery ◽  
Main Renal Artery ◽  
The Right

scholarly journals Asymptomatic bilateral common iliac artery dissections in previously undiagnosed vascular Ehlers-Danlos syndrome

2019 ◽  
Vol 12 (11) ◽  
pp. e231537
Author(s):  
Matthew Lavoie ◽  
Jason Reese
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Clinical History ◽  
Artery Dissection ◽  
Intravenous Contrast ◽  
Ehlers Danlos Syndrome ◽  
Left Common Iliac Artery ◽  
Ct Angiogram ◽  
The Right ◽  
Danlos Syndrome

We report a case of a 35-year-old woman found to have vascular Ehlers-Danlos syndrome (vEDS) after family history of sudden death due to aortic dissection in her otherwise healthy brother prompted further imaging workup and consideration of an underlying heritable genetic condition. CT angiogram of the aorta with intravenous contrast revealed an abdominal aortic artery dissection below the level of the renal arteries extending from the bifurcation into the left common iliac artery with an additional focal dissection of the right common iliac artery. To the author’s knowledge, this is the first report of asymptomatic bilateral common iliac artery dissections as a part of the initial presentation of a patient with underlying vEDS. Additionally, this case highlights the importance of familial diagnostic screening in inherited vasculopathies. Clinical history, genetic testing and management are discussed.

Double D Technique: An Innovative Modified Bifurcated Stent Graft Deployment Strategy for an Isolated Common Iliac Artery Aneurysm With a Challenging Renal Artery Anatomy

2019 ◽  
Vol 53 (7) ◽  
pp. 613-616 ◽  
Author(s):  
Yusuke Date ◽  
Tamaki Takano ◽  
Taishi Fujii ◽  
Takamitsu Terasaki ◽  
Masayuk Sakaguchi
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Artery Aneurysm ◽  
Aortic Bifurcation ◽  
Iliac Artery Aneurysm ◽  
Common Iliac Artery Aneurysm ◽  
The Right ◽  
Aneurysm Repair

Purpose: Endovascular aneurysm repair (EVAR) for an isolated common iliac artery aneurysm (iCIAA) sometimes requires a bifurcated stent graft (SG). In EVAR, it is essential to preserve the renal artery (RA). However, this is challenging in cases of anatomical variation. The double D technique (DDT) can be used in anatomically inadequate cases with a commercially approved bifurcated SG. Here, we report the repair of iCIAA in the presence of a challenging RA anatomy, through EVAR using the DDT. Case Report: An 84-year-old woman was diagnosed with a maximal 35-mm diameter left iCIAA and a nonaneurysmal aorta by computed tomography (CT), which also showed that the right RA arose 50-mm above the aortic bifurcation. The DDT was chosen because commercially approved bifurcated SGs typically require a distance of >70 mm from the proximal position to the aortic bifurcation. Postoperative CT showed excellent results with no endoleaks or SG kinking and occlusion, as well as preservation of robust blood flow to the right RA. Conclusion: Endovascular aneurysm repair using the DDT can be an alternative option for treatment of iCIAA with a challenging RA anatomy.

scholarly journals Balloon Occlusion of the Contralateral Iliac Artery to Assist Recanalization of the Ipsilateral Iliac Artery in Total Aortoiliac Occlusion: A Technical Note

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Abdel Aziz A. Jaffan
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Balloon Occlusion ◽  
Technical Note ◽  
Left Common Iliac Artery ◽  
Endovascular Recanalization ◽  
Common Causes ◽  
The Right ◽  
Aortoiliac Occlusion ◽  
Causes Of Failure

Endovascular recanalization of chronic total aortoiliac occlusion is technically challenging. Inability to reenter the true aortic lumen, following retrograde iliac recanalization, is one of the most common causes of failure. We describe a case of a total aortoiliac occlusion where balloon occlusion of the right common iliac artery, following its recanalization from a brachial approach, was used to facilitate antegrade recanalization of the occluded contralateral left common iliac artery.

scholarly journals Differentiation of vascular claudication due to bilateral common iliac artery stenosis versus neurogenic claudication with spinal stenosis

2021 ◽  
Vol 12 ◽  
pp. 231
Author(s):  
Lisa B. E. Shields ◽  
Vasudeva G. Iyer ◽  
Stephen B. Self ◽  
Yi Ping Zhang ◽  
Christopher B. Shields
Keyword(s):  
Iliac Artery ◽  
Groin Pain ◽  
Common Iliac Artery ◽  
Neurogenic Claudication ◽  
Low Back ◽  
Left Common Iliac Artery ◽  
Ct Angiogram ◽  
Calcified Plaque ◽  
Iliac Artery Stenosis ◽  
The Right

Background: Differentiating between neurogenic and vascular claudication may be difficult. Vascular claudication due to aortic and iliac artery occlusions may present as low back, hip, and buttock pain while walking short distances. These findings are often very similar to those seen for neurogenic claudication attributed to lumbar stenosis. Case Description: A 68-year-old female presented with low back, right hip, and groin pain while walking short distances. She had previously undergone lumbar and cardiac surgery. Now, with negative repeated lumbar studies, the CT angiogram (CTA) revealed a dense calcified plaque in the right common iliac artery resulting in 90% stenosis at its origin and <50% stenosis of the left common iliac artery. Once bilateral common iliac artery kissing stents were placed, the patient’s symptoms resolved. Conclusion: Spine surgeons should be aware that vascular and neurogenic claudication may mimic each other. Obtaining MR studies of the lumbar spine and EMG/NCV, along with the appropriate vascular studies (CTAs), help differentiate between the two, and result in the appropriate operative choices.

A Preliminary Study of Gadobenate Dimeglumine Enhanced Magnetic Resonance Angiography Detection of Prostatic Artery Anatomy

2020 ◽  
Vol 10 (3) ◽  
pp. 560-565
Author(s):  
Yanguang Shen ◽  
Jinlong Zhang ◽  
Peng Song ◽  
Lu Ma ◽  
Yan Zhong ◽  
...  
Keyword(s):  
Image Quality ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Signal To Noise Ratio ◽  
Gadobenate Dimeglumine ◽  
Time Resolved ◽  
Left Common Iliac Artery ◽  
Internal Iliac ◽  
The Right ◽  
Prostatic Artery

Background: To describe the feasibility of anatomy and imaging findings of the prostatic arteries (PAs) on contrast-enhanced MR angiography (ce-MRA). Methods: This prospective study enrolled 7 patients undergoing pelvic 3.0 T ce-MRA and selective pelvic digital subtraction angiography before prostatic artery embolization (PAE). Four patients underwent fluoroscopically triggered ce-MRA and 3 patients underwent time-resolved imaging of contrast kinetics. PAE was performed within one week of MRA. Two radiologists independently analyzed MRA findings. The analyzed parameters included the number of independent PAs and their origin, trajectory, and anastomoses with adjacent arteries. Image quality in terms of signal-to-noise ratio (SNR) and contrast-tonoise ratio (CNR) to visualize common iliac artery and its branches including prostatic arteries was compared between the two groups. Results: A total of 17 PAs were demonstrated in 7 cases. The diagnostic accuracy of MRA in detecting bilateral PAs was 58.82%. Moreover, 71.42% of the patients had only one PA in one side, and 7.14% had independent PAs. The mean diameter of 10 PAs was 1.39 ± 0.46 mm. About 29.41% of PAs originated from the obturator arteries and 29.41% from the pudendal arteries. Bilateral PAs were found to be symmetric in 3 cases and asymmetric in 4 cases. No significance difference was found between the image quality of the two groups, except for the signal intensity of the right common iliac artery and right internal iliac artery and SNR and CNR of the left common iliac artery. Conclusions: This study shows that ce-MRA is able to detect PA, and can provide guidance for PAE.

scholarly journals Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Guilherme Centofanti ◽  
Kenji Nishinari ◽  
Bruna De Fina ◽  
Rafael Noronha Cavalcante ◽  
Mariana Krutman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Iliac Artery ◽  
Computed Tomography Angiography ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Maximum Diameter ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Common Iliac Artery Aneurysm

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

Post-operative internal hernia through an orifice underneath the right common iliac artery after Dargent’s operation

Hernia ◽  
2013 ◽  
Vol 18 (6) ◽  
pp. 907-909 ◽  
Author(s):  
M. Ardelt ◽  
Y. Dittmar ◽  
H. Scheuerlein ◽  
E. Bärthel ◽  
U. Settmacher
Keyword(s):  
Iliac Artery ◽  
Internal Hernia ◽  
Common Iliac Artery ◽  
The Right ◽  
Dargent’S Operation
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