Two cases of buttock claudication caused by isolated internal iliac artery stenosis

VASA ◽  
2006 ◽  
Vol 35 (3) ◽  
pp. 209-211 ◽  
Author(s):  
Kahle ◽  
Schmidt-Lucke
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Adequate Treatment ◽  
Iliac Arteries ◽  
Iliac Artery Stenosis ◽  
Buttock Claudication ◽  
Internal Iliac ◽  
Percutaneous Transluminal

We present two cases of buttock claudication caused by severe stenosis of the internal iliac artery which disappeared totally after percutaneous transluminal angioplasty (PTA). Isolated stenoses of internal iliac arteries are rare. It is often difficult to distinguish between vascular buttock claudication and neurological or orthopaedic symptoms. Conventional or MR-angiography is necessary to secure the diagnosis. PTA of internal iliac artery stenosis is the adequate treatment.

scholarly journals Endovascular Treatment of Internal Iliac Artery Stenosis in Patients with Buttock Claudication

PLoS ONE ◽  
2013 ◽  
Vol 8 (8) ◽  
pp. e73331 ◽  
Author(s):  
Jip F. Prince ◽  
Maarten L. J. Smits ◽  
Joost A. van Herwaarden ◽  
Mark J. Arntz ◽  
Evert-Jan P. A. Vonken ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Stenosis ◽  
Iliac Artery Stenosis ◽  
Buttock Claudication ◽  
Internal Iliac

scholarly journals Internal Iliac Artery Stenosis: Diagnosis and How to Manage it in 2015

2015 ◽  
Vol 2 ◽  
Author(s):  
Guillaume Mahé ◽  
Adrien Kaladji ◽  
Alexis Le Faucheur ◽  
Vincent Jaquinandi
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Stenosis ◽  
Iliac Artery Stenosis ◽  
Internal Iliac

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.

scholarly journals Surgical internal iliac artery preservation associated with endovascular repair of infrarenal aortoiliac aneurysms to avoid buttock claudication and distal type I endoleaks

2018 ◽  
Vol 68 (6) ◽  
pp. 1736-1743 ◽  
Author(s):  
Julien Gaudric ◽  
Philippe Tresson ◽  
Lucie Derycke ◽  
Sophie Tezenas Du Montcel ◽  
Thibault Couture ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Endovascular Repair ◽  
Internal Iliac Artery ◽  
Type I ◽  
Buttock Claudication ◽  
Internal Iliac

scholarly journals Role of bilateral internal iliac artery ligation in severe obstetric and gynaecological hemorrhage

2018 ◽  
Vol 7 (3) ◽  
pp. 1090 ◽  
Author(s):  
Shashi Lata Kabra Maheshwari ◽  
Nisha Kumari ◽  
Syed N. Ahmad
Keyword(s):  
Success Rate ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Care Hospital ◽  
Artery Ligation ◽  
Iliac Arteries ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Internal Iliac Arteries

Background: Massive pelvic haemorrhage is a potentially lethal complication while undergoing obstetric and gynaecological surgery. The objective of this study was to study of role of bilateral internal iliac artery ligation in severe obstetric and gynaecological haemorrhage. It was a prospective interventional study carried out in a multi-speciality tertiary care hospital in New Delhi.Methods: Thirty-five patients (31 obstetric and 4 gynaecological) fulfilling the inclusion criteria over a period of 2 years were included in the study cohort after informed consent. After laparotomy, internal iliac arteries were exposed by incising the peritoneal fold between the infundibulo-pelvic and round ligaments. A number 1 silk suture and right-angled artery forceps were used to tie the internal iliac arteries approximately 1 inch below their origin. The success and complications of the procedure were analysed.Results: In the present study 31 out of 35 cases underwent BIIAL for obstetrical cause of haemorrhage and rest 4 for gynaecological cause. In 19 out of 31 patients, hysterectomy preceded or followed BILAL depending upon the clinical situation making a uterine salvation rate of 38.7%. The success rate of BIIAL was 67.7% in 31 obstetric cases. In the 4 gynaecological cases BILAL was done to arrest post-hysterectomy haemorrhage and success rate was 100%. Among 35 patients one patient died of haemorrhagic shock and 4 other died of full blown sepsis and MODS in surgical ICU. No significant procedure related complications were encountered.Conclusions: BILAL is a very effective procedure to control PPH and pelvic haemorrhage due to other causes and helps save the much precious lives and uteri. This procedure can always be tried where procedures like embolization are unavailable.

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