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

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 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.

Emergency endovascular treatment of a ruptured internal iliac artery aneurysm long after abdominal aortic aneurysm surgical repair

VASA ◽  
2009 ◽  
Vol 38 (1) ◽  
pp. 91-93 ◽  
Author(s):  
Borioni ◽  
De Luca ◽  
Maspes ◽  
Sciuto ◽  
Garofalo
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Iliac Artery ◽  
Surgical Repair ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Emergency Setting ◽  
Abdominal Aortic ◽  
Internal Iliac

The purpose of this report is to describe the endovascular exclusion of an internal iliac artery (IIA) aneurysm in emergency setting, long after abdominal aortic aneurysm surgical repair. An 85-year-old male presented with a contained rupture of a huge IIA aneurysm, ten years after aortoiliac bifurcated grafting. Because of poor clinical conditions an emergency endovascular treatment was planned. A stent-graft was positioned from the proximal right branch of the bifurcated surgical prosthesis to the distal external iliac artery, covering the hypogastric aneurysm neck. One month after the procedure, CT scan demonstrated the complete exclusion of the aneurysm. Endovascular treatment of IIA aneurysms is an excellent option to reduce perioperative morbidity and mortality in high risk patients, particularly in an emergency setting.

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