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

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.

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180898 ◽

2018 ◽

Vol 7 (3) ◽

pp. 1090 ◽

Cited By ~ 1

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

ARS Medica Tomitana ◽

10.1515/arsm-2015-0010 ◽

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.

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TCTAP A-209 Inferior Mesenteric Artery Preservation with Bare Stent in Endovascular Bilateral Iliac Aneurysm Repair Using a Bifurcated Stent Graft with Bilateral Internal Iliac Artery Coil Embolization

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2014.02.566 ◽

2014 ◽

Vol 63 (12) ◽

pp. S60

Author(s):

Kimihiro Igari ◽

Toshifumi Kudo ◽

masahiro Nakamura ◽

Masato Nishizawa ◽

Hidetoshi Uchiyama ◽

...

Keyword(s):

Stent Graft ◽

Iliac Artery ◽

Coil Embolization ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Internal Iliac Artery ◽

Iliac Aneurysm ◽

Internal Iliac ◽

Aneurysm Repair

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Safety of inferior mesenteric artery and bilateral internal iliac artery ligations in aorto-iliac reconstruction.

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.19.279 ◽

1989 ◽

Vol 19 (2) ◽

pp. 279-281

Author(s):

S. Maeda

Keyword(s):

Iliac Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Internal Iliac Artery ◽

Internal Iliac

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The internal iliac arteries do not supply the inferior mesenteric artery

International Journal of Angiology ◽

10.1007/bf01618392 ◽

2011 ◽

Vol 7 (02) ◽

pp. 165-168 ◽

Cited By ~ 1

Author(s):

Michel Batt ◽

Reda Hassen-Khodja ◽

Pascal Staccini ◽

Hervé Bariseel ◽

Serge Declemy ◽

...

Keyword(s):

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Iliac Arteries ◽

Internal Iliac ◽

Internal Iliac Arteries

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Laparoscopic Ligation of Inferior Mesenteric Artery and Internal Iliac Artery for the Treatment of Symptomatic Type II Endoleak After Endovascular Aneurysm Repair

International Surgery ◽

10.9738/intsurg-d-13-00152.1 ◽

2014 ◽

Vol 99 (5) ◽

pp. 681-683 ◽

Cited By ~ 7

Author(s):

Junjie Zou ◽

Yueming Sun ◽

Hongyu Yang ◽

Hao Ma ◽

Jun Jiang ◽

...

Keyword(s):

Back Pain ◽

Iliac Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Internal Iliac Artery ◽

Endovascular Aneurysm Repair ◽

Type Ii ◽

Type Ii Endoleak ◽

Internal Iliac ◽

Aneurysm Repair

Abstract We present a case undergoing successful laparoscopic ligation of the inferior mesenteric artery (IMA) and internal iliac artery (IIA) for the treatment of a symptomatic type II endoleak (T2E) after endovascular aneurysm repair (EVAR). The patient presented with abdominal and back pain 1 year after EVAR. Subsequent enhanced computed tomography scan showed aneurysm sac enlargement from 60 mm to 70 mm, and digital substraction angiography revealed a T2E caused by patent IMA and right IIA. Then the patient underwent successful laparoscopic ligation of the IMA and right IIA. Postprocedural angiogram demonstrated complete resolution of the type II endoleak, and no intraoperative complications occurred. Also, there was no remaining abdominal pain or back pain after the operation.

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Novel Indication for Chimney Graft Placement in the Inferior Mesenteric Artery in AAA Patients With Coexistent Bilateral Internal Iliac Artery Occlusion

Journal of Endovascular Therapy ◽

10.1583/14-4745r.1 ◽

2014 ◽

Vol 21 (4) ◽

pp. 548-552 ◽

Cited By ~ 10

Author(s):

Konstantinos P. Donas ◽

Giovanni Torsello ◽

Theodosios Bisdas ◽

Martin Austermann ◽

Konstantinos Stavroulakis ◽

...

Keyword(s):

Iliac Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Internal Iliac Artery ◽

Artery Occlusion ◽

Graft Placement ◽

Iliac Artery Occlusion ◽

Internal Iliac ◽

Chimney Graft

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Inferior mesenteric artery embolization for persistent postpartum hemorrhage after sufficient bilateral iliac arteries embolization: safety and efficacy in eight patients

British Journal of Radiology ◽

10.1259/bjr.20180896 ◽

2019 ◽

Vol 92 (1099) ◽

pp. 20180896 ◽

Cited By ~ 1

Author(s):

Chengshi Chen ◽

Hee Ho Chu ◽

Ji Hoon Shin ◽

Hai-Liang Li ◽

Heung-Kyu Ko ◽

...

Keyword(s):

Mesenteric Artery ◽

Vaginal Bleeding ◽

Inferior Mesenteric Artery ◽

Post Partum ◽

Clinical Manifestations ◽

Delivery Mode ◽

Contrast Extravasation ◽

Iliac Arteries ◽

Safety And Efficacy ◽

Maternal Characteristics

Objective: To assess the safety and efficacy of transcatheter arterial embolization (TAE) of the inferior mesenteric artery (IMA) for the management of post-partum hemorrhage (PPH). Methods: A retrospective analysis was performed regarding eight patients (mean age, 34.4 y; age range, 31 – 40 y) who underwent TAE of the IMA for PPH between March 2001 and September 2018. Obstetric records, including maternal characteristics, clinical manifestations, complications, and clinical outcomes, as well as TAE details were obtained. Results: All eight patients had primary PPH and the vaginal delivery mode. CT scans of two patients showed active bleeding from the lower uterus or hematoma and with the origin of contrast extravasation abutting the adjacent rectum. In seven patients, an aortogram or IMA arteriogram following persistent vaginal bleeding after sufficient embolization of the bleeding focus from the bilateral iliac arteries, found the bleeding focus of the IMA, while in one patient, the IMA bleeding focus was found at the second session 4 h after the first session. TAE of the IMA was technically successful in all eight patients and cessation of bleeding without repeated TAE or additional hemostatic surgery was achieved in all patients after TAE of the IMA. There were neither procedure-related complications nor bowel ischemia during follow-up. Conclusion: TAE of the IMA for PPH was safe and effective with successful hemostasis. Bleeding from the IMA should be suspected when there is persistent vaginal bleeding after sufficient embolization of bleeders from the bilateral iliac arteries. Advances in knowledge: Bleeding from the IMA should be suspected when there is persistent vaginal bleeding after sufficient embolization of bleeders from the bilateral iliac arteries.

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

VASA ◽

10.1024/0301-1526.35.3.209 ◽

2006 ◽

Vol 35 (3) ◽

pp. 209-211 ◽

Cited By ~ 4

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.

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