scholarly journals Unique vascular patterns of the internal iliac artery and its clinical import in pelvic surgery

2021 ◽  
pp. 100151
Author(s):  
R. Khan ◽  
N. Naidoo ◽  
L. Lazarus
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Pelvic Surgery ◽  
Internal Iliac

scholarly journals Variability in morphology and branching of the internal iliac artery: Implications for pelvic surgery

2021 ◽  
Vol 22 ◽  
pp. 100097
Author(s):  
Ibsen Henric Ongidi ◽  
Thomas Mombo Amuti ◽  
Fadhila Yusuf Abdulsalaam ◽  
Gloria Kabare Shani ◽  
Innocent Peter Ouko ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Pelvic Surgery ◽  
Internal Iliac

scholarly journals A Descriptive Anatomical Study of the Branching Pattern of Internal Iliac Artery in Humans

2012 ◽  
Vol 01 (01) ◽  
pp. 007-013
Author(s):  
Ramakrishnan PK ◽  
Selvarasu CD ◽  
Elezy MA
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Anatomical Study ◽  
Pelvic Surgery ◽  
Type I ◽  
Branching Pattern ◽  
Obturator Artery ◽  
Type Iv ◽  
Internal Iliac ◽  
Anterior Division

Abstract Background And Aims: Variations in the origin of the parietal branches of internal iliac artery are of great surgical and radiological importance. Very few studies regarding the variations in the origin of the branches of internal iliac artery have been reported from South India. The present study was carried out to investigate the sites of origin of the large parietal branches of the internal iliac artery in a sample Indian population from two Southern states. Materials And Methods: 50 pelvic halves of embalmed cadavers were dissected and observed for variations in the origins of superior gluteal, inferior gluteal, internal pudenda! and obturator arteries. Results: Among the 50 pelvic halves studied, the origins of superior gluteal, inferior gluteal and internal pudenda! arteries confirmed to a Type I arrangement on the Adachi scale in 30 cases (60%), a Type III pattern being found in 15 cases (30%) and a Type II pattern was seen in 4 cases (8%). Type IV was less frequent and was seen in only one case (2%). The obturator artery arose directly from the anterior division of internal iliac artery in 40% of cases; in the rest of specimens, it arose as a branch from either the inferior gluteal-internal pudenda! trunk or internal pudenda! or superior gluteal or iliolumbar arteries. Conclusions: The data obtained from this study show that the branching pattern of internal iliac artery is subject to great variation, especially with regard to its four large parietal branches. These observations are important in diagnostic & interventional radiological procedures of this major artery as well as in pelvic surgery to minimize intra-operative blood loss.

Preoperative evaluation of iliac blood vessels for first kidney transplant recipients: Combination of conventional and contrast-enhanced ultrasonography

2021 ◽  
pp. 1-11
Author(s):  
Wen-qi Yang ◽  
Xiao-lan Cui ◽  
Ming Zhang ◽  
Xiao-dong Yuan ◽  
Liang Ying ◽  
...  
Keyword(s):  
Blood Vessels ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Operative Strategy ◽  
Post Transplant ◽  
Transplant Outcomes ◽  
Contrast Enhanced ◽  
Internal Iliac ◽  
Contrast Enhanced Ultrasonography ◽  
Us Findings

OBJECTIVE: To assess iliac blood vessels using conventional ultrasound (US) and contrast-enhanced ultrasonography (CEUS) before kidney transplantation (KT) and determine whether US findings related to post-transplant outcomes. METHODS: A total of 119 patients received US and CEUS before KT waiting-list acceptance. The preoperative iliac blood hemodynamics and vascular conditions were evaluated. The operative strategy and follow-up outcomes were recorded. Logistic regression and correlation analysis were used. The accuracy in determining the patency of iliac blood vessels was calculated before and after the injection of contrast materials. RESULTS: CEUS can help to significantly improve the visualization of the internal iliac artery, but there was no significant correlation with post-transplant outcomes. In terms of accuracy, there were significant differences in determining the patency of internal iliac arteries between conventional US and CEUS (60.5% and 100%, p <  0.001). The surgical strategy of one patient was regulated and two patients were excluded from KT according to US findings. CONCLUSIONS: Compared with conventional US, CEUS helps to improve the visualization of the internal iliac artery. Conventional US and CEUS have the potential to serve as effective methods to evaluate anatomy and hemodynamics of iliac vessels and have a potential value while defining clinical algorithms in surgery decision-making.

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

2020 ◽  
pp. 153857442098181
Author(s):  
Paolo Perini ◽  
Erica Mariani ◽  
Mara Fanelli ◽  
Alessandro Ucci ◽  
Giulia Rossi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Iliac Artery ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Internal Iliac Artery ◽  
Cochrane Library ◽  
Hypogastric Artery ◽  
Stent Grafting ◽  
Buttock Claudication ◽  
Internal Iliac

Objectives: The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes. Methods: We performed a systematic review of the literature (database searched: PubMed, Web of Science, Scopus, Cochrane Library; last search: April 2020). We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model. Results: Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I2 54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I2 88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were: embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181). Overall estimated technical success (TS) rate was 91.6% (95% CI 86.8-95.5; I2 45.82%, P = .031). TS rate was 94.5% for open surgery (95%CI 85.3-100; I2 0%, P = .907), and 89.7% for endovascular repair (95%CI 83.8-95.6; I2 55.43%, P = .006). Estimated overall 30-day mortality was 3.1% (95%CI 0.8-5.4; I2 0%, P = .969). Mortality rates after open surgery and endovascular repair were 8.2% (95%CI 3.4-19.8; I2 0%, P = .545) and 2.8% (95%CI 0.5-5.1; I2 0%, P = .994), respectively. Estimated mean follow-up was 32.63 months (95%CI 21.74-43.53; I2 94.45%, P < .001). During this timeframe, IIIAA exclusion was preserved in 92.8% of the patients (95%CI 89.3-96.2; I2 0%, P = .797). Buttock claudication occurred in 13.9% of the patients (95%CI 8.7-19.2; I2 0%, P = .622). Conclusions: IIIAA are frequently large, and symptomatic at presentation. Several treatments are proposed in literature, open and endovascular, both with good results. The endovascular treatment is the preferred method of treatment in literature, since it offers good short- to mid-term results and low early mortality. Buttock claudication after hypogastric artery exclusion is a common complication.

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