Surgical Management of an infected external iliac artery interposition graft with a bioengineered human acellular vessel

Die zystische Degeneration der Adventitia (ZAD) in der A.iliaca externa ist mit zehn in der Literatur beschriebenen Fällen ein seltenes Phänomen. Eine rasch auftretende, einseitige Ischämiesymptomatik bei jungen Patienten sollte daran denken lassen und eine erweiterte präoperative Abklärung zur Folge haben. Die klassische Therapie mit Gefässresektion und Veneninterponat wird seit jeher kontrovers diskutiert. Wir berichten über einen Fall mit rezidivfreiem Verlauf über drei Jahre nach Exarterektomie.

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Endovascular Treatment of External Iliac Artery Injuries After Hip Arthroplasty

Journal of Endovascular Therapy ◽

10.1583/1545-1550(2003)010<0672:etoeia>2.0.co;2 ◽

2003 ◽

Vol 10 (3) ◽

pp. 672-675 ◽

Cited By ~ 3

Author(s):

Roberto Adovasio ◽

Fabio Pozzi Mucelli ◽

Giovanni Lubrano ◽

Cristiana Gasparini ◽

Manuel Belgrano ◽

...

Keyword(s):

Endovascular Treatment ◽

Hip Arthroplasty ◽

Iliac Artery ◽

External Iliac Artery

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Damage Control Techniques for Common and External Iliac Artery Injuries: Have Temporary Intravascular Shunts Replaced the Need for Ligation?

Yearbook of Vascular Surgery ◽

10.1016/s0749-4041(10)79418-5 ◽

2011 ◽

Vol 2011 ◽

pp. 257-258

Author(s):

G.L. Moneta

Keyword(s):

Iliac Artery ◽

Damage Control ◽

External Iliac Artery ◽

Control Techniques

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Association of changes of pulse wave velocity and augmentation index after isometric handgrip exercise with coronary lesion extent and revascularization

Clinical Hypertension ◽

10.1186/s40885-021-00163-5 ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

Seong Taeg Kim ◽

Yeekyoung Ko ◽

Jong-Wook Beom ◽

Ki Yung Boo ◽

Jae-Geun Lee ◽

...

Keyword(s):

Arterial Stiffness ◽

Pulse Wave Velocity ◽

Iliac Artery ◽

Pulse Wave ◽

Augmentation Index ◽

Coronary Revascularization ◽

External Iliac Artery ◽

Handgrip Exercise ◽

Isometric Handgrip ◽

Isometric Handgrip Exercise

Abstract Background Arterial stiffness is associated with myocardial ischemia and incident coronary artery disease (CAD), and indexes of arterial stiffness are usually increased in patients with CAD. However, these indexes are often increased in elderly without CAD. Arterial stiffness in patients with CAD may become more evident after isometric handgrip exercise which increases systolic pressure and ventricular afterload. We investigated the association of the change of stiffness indexes after isometric handgrip exercise with the lesion extent of CAD and the necessity for coronary revascularization. Methods Patients who were scheduled a routine coronary angiography via a femoral artery were enrolled. Arterial waveforms were traced at aortic root and external iliac artery using coronary catheters at baseline and 3 min after handgrip exercise. Augmentation index (AIx) was measured on the recorded aortic pressure waveform, and pulse wave velocity (PWV) was calculated using the ECG-gated time difference of the upstroke of arterial waveforms and distance between aortic root and external iliac artery. Results Total 37 patients were evaluated. Both PWV and AIx increased after handgrip exercise. ΔPWV was significantly correlated with ΔAIx (r = 0.344, P = 0.037). Patients were divided into higher and lower ΔPWV or ΔAIx groups based on the median values of 0.4 m/sec and 3.3%, respectively. Patients with higher PWV had more 2- or 3-vessel CAD (69% vs. 27%, P = 0.034), and underwent percutaneous coronary intervention (PCI) more frequently (84% vs. 50%, P = 0.038), but higher ΔAIx was not associated with either the lesion extent or PCI. Area under curve (AUC) of ΔPWV in association with PCI by C-statistics was 0.70 (95% confidence interval [CI] 0.51–0.88; P = 0.056). In multiple logistic regression analysis, ΔPWV was significantly associated with PCI (odds ratio 7.78; 95% CI 1.26–48.02; P = 0.027). Conclusions Higher ΔPWV after isometric handgrip exercise was associated with the lesion extent of CAD and the necessity for coronary revascularization, but higher ΔAIx was not.

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Isolated bilateral external iliac artery dissections with emotional stress

Clinical Case Reports ◽

10.1002/ccr3.3762 ◽

2021 ◽

Author(s):

Shun Kondo ◽

Hiroyuki Osanai ◽

Yusuke Sakamoto ◽

Hiroto Uno ◽

Kensuke Tagahara ◽

...

Keyword(s):

Emotional Stress ◽

Iliac Artery ◽

External Iliac Artery

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Treatment of an external iliac artery chronic total occlusion using alternate access sites

CVIR Endovascular ◽

10.1186/s42155-019-0089-6 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Justin Ratcliffe ◽

Mike Gorenchtein ◽

Pankaj Khullar ◽

Abel Casso Dominguez ◽

Mohan Satish ◽

...

Keyword(s):

Iliac Artery ◽

Chronic Total Occlusion ◽

External Iliac Artery ◽

Arterial Disease ◽

Patient Comfort ◽

Vascular Lesions ◽

Symptom Improvement ◽

Total Occlusion ◽

Maximal Medical Therapy ◽

Peripheral Arterial

Abstract Background With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases. Case presentation A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up. Conclusion This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lower-extremity vascular lesions.

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Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images

SAGE Open Medical Case Reports ◽

10.1177/2050313x19834159 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1983415

Author(s):

Taketsugu Tsuchiya ◽

Minako Oda ◽

Takaaki Takamura ◽

Katsuhide Kitagawa ◽

Koji Kajinami ◽

...

Keyword(s):

Femoral Artery ◽

Balloon Angioplasty ◽

Iliac Artery ◽

Superficial Femoral Artery ◽

External Iliac Artery ◽

Artery Dissection ◽

Intravascular Ultrasonography ◽

Stent Deployment ◽

Atherosclerotic Stenosis ◽

Drug Coated Balloon

Early 80s male with intermitted claudication underwent endovascular therapy for atherosclerotic stenosis at left external iliac artery and middle of superficial femoral artery. Patient also had chronic atrial fibrillation, diabetes mellitus, and hypertension. After stent deployment for external iliac artery lesion, a short superficial femoral artery lesion was performed with angioplasty using drug-coated balloon. The drug-coated balloon angioplasty resulted in 50% residual stenosis with linear dissection; however, provisional stenting was not performed as decent ante-grade blood flow allowed 10 extra minutes. Medication involved ongoing use of aspirin 100 mg and rivaroxaban 15 mg. Angiography post 3 months from index procedure showed external iliac artery and superficial femoral artery patency and healing of intimal dissection at superficial femoral artery lesion was estimated by intravascular ultrasonography. In angioscopy findings, red thrombus was seen in dissection cavity.

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