scholarly journals Use of an Endograft from the External to the Internal Iliac Artery to Treat a Perforation of the Common Iliac Artery

EJVES Extra ◽  
2004 ◽  
Vol 8 (5) ◽  
pp. 104-106
Author(s):  
A. Derom ◽  
E. Lagae
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Internal Iliac ◽  
The Common

Internal Iliac Artery Ligation: A Retrospective Analysis of Two Different Approaches

2017 ◽  
Vol 9 (3) ◽  
pp. 230-234
Author(s):  
GS Jyothi
Keyword(s):  
Retrospective Analysis ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Round Ligament ◽  
Artery Ligation ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Pouch Of Douglas ◽  
The Common

ABSTRACT Aim To describe two different approaches of performing internal iliac artery ligation and their usefulness in different clinical situations. Introduction Internal iliac artery ligation is a very useful method to control pelvic hemorrhage. It can become a necessity at any point of time while performing obstetric or gynecological surgeries, and it is a procedure that needs to be accomplished in a matter of few minutes, before the patient goes into irreversible shock. Techniques Internal iliac artery ligation can be done by approaching the artery by opening the retroperitoneal space, either by dividing the round ligament or by opening the pouch of Douglas. The internal iliac artery is identified by locating the bifurcation of the common iliac artery with the ureter crossing it. The external iliac artery is the lateral branch of the common iliac artery and it runs a straight course to continue as the femoral artery in the lower limb. The ureter is identified by peristalsis, and the internal iliac artery is the short medial branch of the common iliac which runs a short course and immediately divides into an anterior and a posterior division, which in turn divide into a number of branches. The uterine artery is the branch of anterior division of the internal iliac artery. The internal iliac artery is ligated by passing a stout suture material under it with the help of a right-angled forceps, or it can be directly occluded with clips, applied using a clip applicator. Conclusion Both the approaches are equally effective and easy to perform. Approaching the internal iliac artery through the round ligament is easier in gynecological surgeries, whereas the pouch of Douglas approach is easier during cesarean section. Clinical significance Internal iliac artery ligation is almost always performed as an emergency, though the need to perform it can be anticipated in advance and the gynecologist can be prepared for it. It is essential for gynecologists to be conversant with this life and a uterus-saving procedure. There are two approaches of doing this procedure and the choice is entirely on the individual. It may not be possible to approach the pouch of Douglas when there are dense adhesions as in case of a frozen pelvis. And it may be time-consuming to approach the internal iliac artery by dividing the round ligaments when there is postpartum hemorrhage. Therefore, it is useful to know both the approaches, because one might encounter a situation where one may find it difficult to follow the technique one is familiar with. How to cite this article Podder AR, Jyothi GS. Internal Iliac Artery Ligation: A Retrospective Analysis of Two Different Approaches. J South Asian Feder Obst Gynae 2017;9(3):230-234.

Blunt Traumatic Occlusion of the Common Iliac Artery Repaired With Segmental Excision and Internal Iliac Artery Patch Angioplasty

2017 ◽  
Vol 39 ◽  
pp. 284.e1-284.e4 ◽  
Author(s):  
Abid C. Mogannam ◽  
Robert F. Cubas ◽  
Ivan M. Gutierrez ◽  
Juan A. Astudillo ◽  
Ahmed M. Abou-Zamzam
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Patch Angioplasty ◽  
Internal Iliac ◽  
The Common

Iliac Artery Aneurysms

2017 ◽  
Author(s):  
Amani D Politano ◽  
Kenneth J. Cherry
Keyword(s):  
Iliac Artery ◽  
Open Repair ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
The Common ◽  
Repair Techniques

The terminal abdominal aorta divides into the common iliac arteries at the L4 level. At the level of the sacrum, the common iliac arteries divide into the external iliac arteries and internal iliac (hypogastric) arteries.  This review covers aneurysms of the iliac arteries, with discussion of the anatomy, clinical evaluation, investigative studies, management, and follow-up imaging. Figures show common presenting configurations of iliac artery aneurysms, examples of open repair techniques for common iliac artery aneurysms, example of internal iliac artery revascularization in the setting of common iliac artery aneurysm repair, examples of endovascular repair techniques for common iliac artery aneurysms, complex hybrid repair of multiple iliac aneurysms, examples of open repair techniques for internal iliac artery aneurysms, and examples of endovascular repair for internal iliac artery aneurysms. Tables list normal diameters reported by the Subcommittee on Reporting Standards for Arterial Aneurysms, rate of growth of aneurysms based on size at presentation, presenting signs and symptoms of iliac artery aneurysm, and location, rupture, and mortality reported in the literature. This review contains 7 highly rendered figures, 4 tables, and 91 references Keywords: Iliac artery aneurysms; IAA; Common iliac artery aneurysms; Internal iliac artery aneurysm; IIAA; External iliac artery aneurysm

Strategy for Isolated Iliac Artery Aneurysms

2007 ◽  
Vol 15 (4) ◽  
pp. 280-284 ◽  
Author(s):  
Shinichi Hiromatsu ◽  
Yukio Hosokawa ◽  
Noriko Egawa ◽  
Hiroko Yokokura ◽  
Keiichi Akaiwa ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Abdominal Aortic Aneurysms ◽  
Prosthetic Graft ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Internal Iliac ◽  
Stent Graft Repair ◽  
The Common ◽  
Isolated Iliac Artery Aneurysms

We retrospectively reviewed 41 patients with isolated iliac artery aneurysms presenting over a 21-year period. The mean age was 72 years. Mean aneurysmal diameter was 6.0 cm (range, 3.2–13 cm). The aneurysms were located in the common iliac artery in 31 patients, internal iliac artery in 7, and both arteries in 3. Rupture occurred in 20 patients (49%). The frequency of rupture of isolated iliac artery aneurysms was significantly higher than that of abdominal aortic aneurysms (8%) during the same period. The 30-day mortality was 9.8%; death in all 4 patients was due to rupture of the aneurysm. The surgical procedure was aneurysmectomy and replacement with a bifurcated prosthetic graft in 24 patients (59%), closure of the common iliac artery with a femorofemoral crossover in 7, minilaparotomy in 3, thromboexclusion in 6, and endoluminal stent-graft repair in one. In contrast to abdominal aortic aneurysms, isolated iliac artery aneurysms can be treated by various methods other than replacement with a bifurcated prosthetic graft. When selecting a strategy for such aneurysms, it is important to choose an approach appropriate to the location and risk, because of the frequency of rupture.

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