scholarly journals Morphological considerations on the origin and morphometry of the internal iliac arteries

2014 ◽  
Vol 20 (4) ◽  
pp. 219-227
Author(s):  
Oana Popa ◽  
P. Bordei ◽  
D. Iliescu ◽  
C. Ionescu
Keyword(s):  
Intervertebral Disc ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Single Case ◽  
Front Face ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
The Right ◽  
Different Levels ◽  
Internal Iliac Arteries

Abstract The origin of the internal iliac artery, right and left, was studied in 76 cases, 58 cases of male (76.32% of all cases) and 18 female cases (23.68% of all cases). The origin of the internal iliac arteries was considered in relation to the spine (lumbar-sacral). The right internal iliac artery males originates in a range from the upper edge of L4 vertebra - the lower part of fin sacral. It is found that in males, in most cases, 43 cases (74.14% of male cases), right internal iliac artery originates at different levels of sacral fin. We considered that the right iliac artery low origin only the cases in the lower part of the fin sacral, 10 cases (17.24% of male cases). Cases of high origin of the artery, above the fin sacral we found it in 15 cases (25.86% of male cases). From high origins, in the upper edge of the L4 vertebra and intervertebral disc at L4-L5, I met only one single case. Right internal iliac artery in females originated in a range between the upper edges of L5 - the lower part of sacral fin. In females, the right internal iliac artery origin, is located within narrower than in men, but in women, most frequently, 14 cases (77.78% of female the cases) was the origin of the internal iliac located at different levels of sacral fin. The females have not met internal iliac origin above the L5 vertebra or intervertebral disc level L4-L5. High origin was met it in 4 cases (22.22% of female the cases) and low origin in 6 cases (33.33% of female the cases). The level of the left internal iliac artery origin we studied 78 cases, finding it in the same range as in males, i.e., the upper edge of L4 vertebra - the front of the sacrum. In males, on a number of 57 cases (73.08% of all cases) the origin of the left internal iliac artery was made between the upper edge of the vertebra L4 - the front face of the sacrum, most commonly, in 44 cases (77 19% of male the cases) located in the sacral fin. The artery high origin I found it in 9 cases (15.79% of male the cases) and low origin in 18 cases (31.58% of male the cases). I have not met artery origin at L5-S1 intervertebral disc. In terms of low origin, only in males, the left internal iliac artery originated from the anterior to the sacrum, something not found the right internal iliac artery. In females, the 18 cases followed, had their origins in the range lower half of the L5 - middle sacral fin, 17 cases (94.44% of female the cases), terminating at the sacral fin. It is found that in women the origin of the left internal iliac artery is within narrower than the other cases described so far, showing the highest level of origin, this artery in females do not possess low origin. The high origin is present in a small percentage, only 5.56% of cases, encountering any case the origin of the left internal iliac artery is located at the L4 vertebra or the intervertebral discs at L4-L5 or L5-S1. Internal iliac artery diameter was followed on 90 cases, 44 cases for the right internal iliac artery and 46 cases for left internal iliac artery. In males, the right internal iliac artery I found a caliber between 3 to 9.8 mm. In women the right internal iliac artery caliber found between 3.9 to 6.9 mm.

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.

scholarly journals LONG-TERM RESULTS OF RECONSTRUCTION OF THE INFERIOR MESENTERIC AND INTERNAL ILIAC ARTERIES DURING RESECTION OF THE ANEURYSM OF THE INFRARENAL AORTIC SEGMENT

2018 ◽  
Vol 177 (4) ◽  
pp. 67-72
Author(s):  
A. Ya. Bedrov ◽  
A. A. Moiseev ◽  
A. V. Belozertseva ◽  
A. N. Morozov ◽  
Yu. A. Pugachenko
Keyword(s):  
Iliac Artery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Internal Iliac Artery ◽  
Clinical Manifestations ◽  
Long Term Results ◽  
Iliac Arteries ◽  
Aortic Segment ◽  
Internal Iliac ◽  
Internal Iliac Arteries

The  OBJECTIVE   is  to  assess the  patency  of  the  inferior  mesenteric artery   and   internal   iliac  arteries in  the  remote period  after  resection of the  aneurysm of the  infrarenal  aortic  segment. MATERIAL AND METHODS.  The  study  included 33  patients who  underwent resection  of  the  abdominal aortic  aneurysm with  reconstruction of  the  inferior  mesenteric artery  and  (or)  internal  iliac  arteries from  1998  to  2017.   All patients were  examined with  computed  tomography scan with  contrast to  assess the  patency of  inferior  mesenteric artery  and   internal  iliac  arteries. RESULTS.   Patients  were observed from  0.5  to  15  years. Among  30  patients with  inferior  mesenteric artery   implanted  into  the  prosthesis,  23 (76  %)  patients had  a  passable inferior  mesenteric artery  and  7  patients had  an  occluded inferior  mesenteric artery. The  implanted  inferior  mesenteric artery   maintained its  patency for  3  years in  100%   of  cases, from  3  to  5  years  – in  86%,  after  5  years and   more   –  in  62%.  In  one   patient   who  underwent  reconstruction  of  the  internal   iliac  artery, thrombosis  of  the  prosthetic-internal  iliac  shunt   was   found  out  in  1.5  years  after  the  operation,  without  any  clinical manifestations. One  patient,  underwent the  reconstruction of the  internal  iliac artery,  was  diagnosed with thrombosis of the prosthetic-internal iliac  shunt   in  1.5  years after  the  operation, which  was   not  accompanied by  clinical  manifestations. CONCLUSION.  The  high  remote patency of the  inferior mesenteric artery  and  internal  iliac arteries reconstructed during resection of the aneurysm of the infrarenal aortic segment indicates the need for this procedure in order to prevent ischemic disorders of the digestive organs and pelvis.

Isolated internal iliac artery infected pseudoaneurysm occlusion using endovascular coil embolisation

2021 ◽  
Vol 14 (6) ◽  
pp. e239005
Author(s):  
Gorrepati Rohith ◽  
Bachavarahalli Sriramareddy Rajesh ◽  
KM Abdulbasith ◽  
Sathasivam Sureshkumar
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Coil Embolisation ◽  
Incision And Drainage ◽  
Wound Debridement ◽  
Anterior Branch ◽  
Ct Angiogram ◽  
Internal Iliac ◽  
Infected Pseudoaneurysm ◽  
The Right

A 34-year-old man presented with painful swelling in the right gluteal region. The MRI showed right sacroiliitis and adjacent intramuscular abscess. The abscess was drained by a pigtail insertion followed by incision and drainage. The patient developed persistent bleeding from the drainage site. CT angiogram revealed a large pear-shaped pseudoaneurysm arising from the anterior branch of the right internal iliac artery. The patient had Abrus precatorius poisoning previously resulting in methicillin-resistant Staphylococcus aureus septicaemia, which incited above events. Digital subtraction angiography with coil embolisation of the right internal iliac artery was done under the cover of culture-specific antibiotics along with thorough wound debridement following which the patient’s condition improved. Isolated infected pseudoaneurysms of internal iliac arteries, although rare, should be considered in cases of complicated sacroiliitis. Under antibiotic cover, endovascular coil embolisation can be considered as a treatment strategy to treat complicated infected pseudoaneurysms located in difficult anatomical locations.

scholarly journals Collateral development and arteriogenesis in hindlimbs of domestic swine after ligation of arterial inflow

2018 ◽  
Author(s):  
NS Patel ◽  
Y Gao ◽  
S Aravind ◽  
M Fuglestad ◽  
GP Casale ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Hindlimb Ischemia ◽  
Artery Ligation ◽  
Luminal Diameter ◽  
Internal Iliac ◽  
Collateral Pathways ◽  
The Common ◽  
The Right ◽  
Domestic Swine

ABSTRACTIntroductionThe development of collateral vasculature is a key mechanism compensating for arterial occlusions in patients with peripheral artery disease (PAD). We aimed to examine the development of collateral pathways after ligation of native vessels in a porcine model of PAD.MethodsRight hindlimb Ischemia was induced in domestic swine (N=11, male, kg) using two different versions of arterial ligation. Version 1 (N=6) consisted of ligation/division of the right external iliac, profunda femoral (RPFA) and superficial femoral arteries (RSFA). Version 2 (N=5) consisted of the ligation of Version 1 with additional ligation/division of the right internal iliac artery (RIIA). Development of collateral pathways was evaluated with standard angiography at baseline (prior to arterial ligation) and at termination (4-8 weeks later). Relative luminal diameter of the arteries supplying the ischemic right hindlimb were determined by 2D angiography, as percent of the size of the distal aortic diameter.ResultsThe dominant collateral pathway that developed after version 1 ligation connected the RIIA to the RPFA and RSFA/popliteal artery. Mean luminal diameter (± standard error) of the RIIA at termination increased by 38% (P<0.05) compared to baseline. Two co-dominant collateral pathways developed in version: (i) from the common internal iliac trunk and left internal iliac artery to the reconstituted RIIA, which then supplied the RPFA and RSFA/popliteal arteries; and (ii) from left profunda artery to the reconstituted RPFA. Mean diameter of the common internal iliac trunk and left profunda artery both increased at termination in the range of 20% (p < 0.05).ConclusionTwo versions of hindlimb ischemia induction (right ilio-femoral artery ligation with and without right internal iliac artery ligation in swine produced differing collateral pathways, along with changes to the diameter of the inflow vessels (i.e., arteriogenesis). Radiographic and anatomical data of the collateral formation in this porcine model should have value in investigation of the pathophysiology of hindlimb ischemia, and assessment of angiogenic therapies as potential treatments for PAD.

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.

Novel Endovascular Approach Using the Gore Iliac Branch Endograft for Short Iliac Anatomy

2017 ◽  
Vol 25 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Kejia Wang ◽  
Laura Dunkley ◽  
Michael Neale
Keyword(s):  
Aortic Aneurysm ◽  
Internal Iliac Artery ◽  
Iliac Arteries ◽  
Infrarenal Aortic Aneurysm ◽  
Landing Zone ◽  
Internal Iliac ◽  
Endovascular Approach ◽  
The Right ◽  
Common Iliac Arteries

Purpose: To report the use of a branched iliac endograft to maintain internal iliac artery (IIA) patency in a patient with an infrarenal aortic aneurysm and short common iliac arteries (CIA). Case Report: A 74-year-old man presented with an asymptomatic, fusiform, 67-mm infrarenal aortic aneurysm confirmed on computed tomography. The right CIA was funnel shaped and only 15 mm in length, providing no appropriate stent-graft landing zone. The left CIA measured 14 mm in diameter and 25 mm in length. Endovascular repair of the aneurysm with preservation of the IIAs was achieved using a Gore Iliac Branch Endoprosthesis for the short right CIA and a conventional limb to land in the left CIA. Follow-up scans to 24 months have shown continued patency of the IIA and no evidence of endoleak. Conclusion: The Gore Iliac Branch Endograft can be used to successfully treat patients with short CIA anatomy while preserving flow to the ipsilateral IIA, with maintained early patency of the IIA limb.

scholarly journals Fornix Rupture in Duplex Kidney due to Internal Iliac Artery Aneurysm

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Phitsanu Mahawong ◽  
Tanop Srisuwan ◽  
Kittipan Rerkasem
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Abdominal Ultrasound ◽  
Selective Embolization ◽  
Iliac Artery Aneurysm ◽  
Duplex Kidney ◽  
Internal Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
The Right

A 70-year-old man presented with severe pain on the right side of the abdomen for 7 days. An abdominal CT angiographic scan showed an impending rupture of a large right internal iliac artery aneurysm which compressed to a right ureter causing hydroureteronephrosis. Fornix rupture of a right duplex kidney was also detected. Selective embolization of right gluteal arteries and then ligation of the right internal iliac artery and right ureterotomy with double J stenting were performed. At the 4-month follow-up appointment, an abdominal ultrasound demonstrated a decrease in the size of the aneurysm and no hydroureteronephrosis after the removal of double J stent.

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