The Effect of Hypogastric Artery Revascularization on Ischemic Colitis in Endovascular Aneurysm Repair

2021 ◽  
Vol 258 ◽  
pp. 246-253
Author(s):  
Kyla M. Bennett ◽  
John E. Scarborough
Keyword(s):  
Ischemic Colitis ◽  
Endovascular Aneurysm Repair ◽  
Hypogastric Artery ◽  
Aneurysm Repair

Buttock Claudication After Interventional Occlusion of the Hypogastric Artery—A Mid-Term Follow-Up

2012 ◽  
Vol 46 (3) ◽  
pp. 236-241 ◽  
Author(s):  
Daphne Pavlidis ◽  
M. Hörmann ◽  
M. Libicher ◽  
M. Gawenda ◽  
J. Brunkwall
Keyword(s):  
Retrospective Analysis ◽  
Endovascular Aneurysm Repair ◽  
Hypogastric Artery ◽  
Iliac Arteries ◽  
Frequent Complication ◽  
Buttock Claudication ◽  
Ischemic Complication ◽  
Pelvic Perfusion ◽  
Aneurysm Repair

Background. Interventional occlusion of the hypogastric artery (HA) can be used for endovascular aneurysm repair (EVAR) in the iliac arteries. Most frequent ischemic complication is buttock claudication (BC). Aim. To investigate the frequency and progression of BC after interventional occlusion of the HA prior to EVAR. Methods. A retrospective analysis was performed in patients with EVAR and occlusion of the HA between September 2004 and August 2010. Acute and persistent BC symptoms were assessed. Results. Fifty-four catheter occlusions of the HA were performed. In 10 cases, claudication could not be evaluated. During a mean follow-up of 17 months, 23 occlusions (52.3%) of the HA showed BC, in 52% symptoms were persistent. Of the 5 patients, 3 patients who underwent bilateral occlusion had BC and in 2 cases, persistent in the follow-up. Conclusion. Buttock claudication after occlusion of the HA prior to EVAR is a frequent complication, which often persists during follow-up. Alternatives that maintain pelvic perfusion should be considered.

Parallel-Stenting Technique in a Sandwich Configuration for Hypogastric Artery Preservation during Endovascular Aneurysm Repair: An In Vitro Study

2017 ◽  
Vol 44 ◽  
pp. 221-228 ◽  
Author(s):  
Xavier Yugueros ◽  
Gaspar Mestres ◽  
Savino Pasquadibisceglie ◽  
Xavier Alomar ◽  
Ana Apodaka ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
In Vitro Study ◽  
Vitro Study ◽  
Hypogastric Artery ◽  
Sandwich Configuration ◽  
Aneurysm Repair

scholarly journals Iliac Branch Devices Do Not Decrease Ischemic Colitis Compared With Hypogastric Artery Embolization in Endovascular Abdominal Aneurysm Repair

2017 ◽  
Vol 66 (4) ◽  
pp. e89-e90
Author(s):  
Jinny Lu ◽  
Sara Zettervall ◽  
Kyongjune B. Lee ◽  
Richard Amdur ◽  
Robyn Macsata ◽  
...  
Keyword(s):  
Ischemic Colitis ◽  
Hypogastric Artery ◽  
Artery Embolization ◽  
Abdominal Aneurysm ◽  
Aneurysm Repair

Clinical impact of hypogastric artery occlusion in endovascular aneurysm repair

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 575-579 ◽  
Author(s):  
Manfred Kalteis ◽  
Odo Gangl ◽  
Florian Huber ◽  
Peter Adelsgruber ◽  
Manfred Kastner ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Long Term Results ◽  
Hypogastric Artery ◽  
Artery Embolization ◽  
Baseline Characteristics ◽  
Aneurysm Repair

Purpose To report the long-term results for patients treated with endovascular aneurysm repair and additional embolization and coverage of the hypogastric artery compared with patients treated with simple endovascular aneurysm repair. Methods A database of our endovascular aneurysm repair patient cohort was reviewed to find patients with iliac artery aneurysms. The baseline characteristics, the procedural data and the results for patients treated with endovascular aneurysm repair and concomitant hypogastric artery embolization were compared with those for patients treated with simple endovascular aneurysm repair. The results were analyzed for significant differences. Results Of 106 endovascular aneurysm repair patients treated at our vascular unit from 2001 to 2010, 24 had undergone additional hypogastric artery embolization. The complication rate was significantly increased in this group (12.5% vs. 2.4%; p = 0.041), and the long-term results were significantly poorer. Additional hypogastric artery embolization resulted in late rupture (1.2% vs. 12.5%; p = 0.036), buttock claudication (8.6% vs. 43.8%; p = 0.001) and new onset erectile dysfunction (17.3% vs. 42.9%; p = 0.043). Conclusion Endovascular aneurysm repair with extension of the stent graft to the external iliac artery and embolization of the hypogastric artery was associated with more complications and worse long-term results compared with simple endovascular aneurysm repair.

Preliminary Embolization of the Hypogastric Artery to Expand the Applicability of Endovascular Aneurysm Repair

2011 ◽  
Vol 18 (1) ◽  
pp. 114-120 ◽  
Author(s):  
Ziheng Wu ◽  
Dieter Raithel ◽  
Wolfgang Ritter ◽  
Lefeng Qu
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Hypogastric Artery ◽  
Aneurysm Repair

scholarly journals Outcome after hypogastric artery bypass and embolization during endovascular aneurysm repair

2006 ◽  
Vol 44 (6) ◽  
pp. 1162-1168 ◽  
Author(s):  
W. Anthony Lee ◽  
Peter R. Nelson ◽  
Scott A. Berceli ◽  
James M. Seeger ◽  
Thomas S. Huber
Keyword(s):  
Artery Bypass ◽  
Endovascular Aneurysm Repair ◽  
Hypogastric Artery ◽  
Aneurysm Repair
Sign in / Sign up

Export Citation Format

Share Document