scholarly journals Buttock Claudication Secondary to Isolated Internal Iliac Artery Stenosis

2000 ◽  
Vol 19 (1) ◽  
pp. 87-89 ◽  
Author(s):  
M.A. Elsharawy ◽  
T.R. Cheatle
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Stenosis ◽  
Iliac Artery Stenosis ◽  
Buttock Claudication ◽  
Internal Iliac

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 Midterm Results After Abandoning Routine Preemptive Coil Embolization of the Internal Iliac Artery During Endovascular Aneurysm Repair

2019 ◽  
Vol 26 (2) ◽  
pp. 238-244 ◽  
Author(s):  
Yannick W. ‘t Mannetje ◽  
Pieter P. H. L. Broos ◽  
Joep A. W. Teijink ◽  
Rutger A. Stokmans ◽  
Philippe W. M. Cuypers ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Endovascular Repair ◽  
Coil Embolization ◽  
Internal Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Type Ii ◽  
Buttock Claudication ◽  
Internal Iliac ◽  
Aneurysm Growth

Purpose: To analyze the results of endovascular repair of common iliac artery (CIA) aneurysms without preemptive coil embolization of the internal iliac artery (IIA). Materials and Methods: Between January 2010 and July 2016, 79 patients (mean age 74.3±8.4 years; 76 men) underwent endovascular repair extending into the external iliac artery owing to a CIA aneurysm. The procedure was performed for a ruptured aneurysm in 22 (28%) patients. Eighty-one IIAs were intentionally covered. The median CIA diameter was 37 mm (range 20–90). The primary outcomes were the occurrence of type II endoleaks and the incidence of buttock claudication. Results: Five (6%) patients died within 30 days (4 with ruptured aneurysms and 1 elective case). Two type II endoleaks originating from a covered IIA were recorded; one required an endovascular intervention because of aneurysm growth. The other patient died of a rupture based on an additional type III endoleak. Mean follow-up was 37.6±26.3 months. Nineteen (26%) patients required a secondary intervention. Buttock claudication was reported in 21 (28%) of 74 patients and persisted after 1 year in 7. No severe ischemic complications as a result of IIA coverage were recorded, and no revascularization was required during follow-up. Conclusion: Treatment of CIA aneurysms by overstenting the IIA without preemptive coil embolization is safe and has a low risk of type II endoleak and aneurysm growth. Persisting buttock claudication is rare.

Outcomes of the Gore Excluder Iliac Branch Endoprosthesis Using Division Branches of the Internal Iliac Artery as Distal Landing Zones

2020 ◽  
Vol 27 (2) ◽  
pp. 316-327 ◽  
Author(s):  
Mario D’Oria ◽  
Emanuel R. Tenorio ◽  
Gustavo S. Oderich ◽  
Bernardo C. Mendes ◽  
Manju Kalra ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Technical Failure ◽  
Technical Success ◽  
Main Trunk ◽  
Buttock Claudication ◽  
Internal Iliac ◽  
Access Complications ◽  
New Onset

Purpose: To evaluate the outcomes of the Gore Excluder Iliac Branch Endoprosthesis (IBE) using division branches of the internal iliac artery (IIA) as distal landing zones. Materials and Methods: Between January 1, 2014, and December 31, 2018, 74 patients (mean age 74±7 years; 72 men) treated for aortoiliac or common iliac artery aneurysms had an IBE deployed with distal landing of the side branch within the main trunk (n=60) of the internal iliac artery (IIA) vs within a division branch (n=25). Thirteen (17%) patients received bilateral IBE implantations for a total of 85 vessels evaluated. Early endpoints were technical success, 30-day mortality, 30-day major adverse events (MAEs), and 30-day major access complications. Late endpoints were survival, primary and secondary IIA patency, freedom from IIA branch instability, freedom from new-onset buttock claudication, and aneurysm sac diameter changes. Time-dependent outcomes were reported as Kaplan-Meier curves with differences assessed using the log-rank test. Estimates are presented with the 95% confidence interval (CI). Results: The overall technical success rate was 97%, with 1 technical failure per group (p=0.43). Two patients, one from each group, died within 30 days (p=0.43). No significant differences were seen in the rates of 30-day MAEs (7% vs 17%, p=0.35) or major access complications (9% vs 11%, p>0.99) for patients receiving distal landing in the main trunk vs a division branch, respectively. The mean follow-up for the entire cohort was 19±12 months. The overall 1-year survival rate was 94% (95% CI 74% to 99%). The primary and secondary patency rates at 1 year were 98% (95% CI 88% to 99%) vs 95% (95% CI 72% to 99%, p=0.72) and 98% (95% CI 88% to 99%) vs 100% (p=0.41) for the main trunk vs division branch groups, respectively. Freedom from IIA branch instability estimates were also similar at 1-year follow-up [93% (95% CI 82% to 97%) vs 90% (95% CI 66% to 97%), p=0.29], as were the freedom from new-onset buttock claudication estimates [98% (95% CI 86% to 99%) and 94% (95% CI 67% to 99%), respectively; p=0.62]. Mean sac diameter change was 5.4±5.3 mm, not significantly different between the groups (p=0.85). Conclusion: Use of the posterior or anterior division of the IIA as a distal landing zone for the Gore Excluder IBE was safe and efficacious in the midterm. This technique may permit extending indications for endovascular repair of aortoiliac aneurysms to cases with unsuitable anatomy within the IIA main trunk. Long-term assessment is needed to affirm the efficacy of this technique.

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