Iliolumbar Artery | ScienceGate

Noncavitary torso hemorrhage is a rare and poorly characterized injury that can lead to exsanguination if not promptly addressed. When present in a high-risk patient on therapeutic anticoagulation, it can lead to a swift fatal outcome. Two cases (an 80-year-old female on warfarin and a 67-year-old male on apixaban for atrial fibrillation) presented with shock after direct blunt trauma in their torsos. Embolotherapy techniques were utilized to obtain angiostasis while the patients were resuscitated with massive transfusion protocols and reversal of the agents received. In the setting of severe localized blunt trauma on an aging victim while on antithrombotic medications, noncavitary torso hemorrhage must be included in the differential diagnosis. Local expertise and a high level of suspicion were critical in the early intervention, and postprocedural management of the injuries sustained and secured a good result.

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VIABILITY OF VASCULARIZED BONE GRAFT FROM THE ILIAC CREST USING THE ILIAC BRANCH OF THE ILIOLUMBAR ARTERY: EXPERIMENTAL STUDY ON RATS

Revista Brasileira de Ortopedia (English Edition) ◽

10.1016/s2255-4971(15)30115-4 ◽

2012 ◽

Vol 47 (3) ◽

pp. 375-380

Author(s):

Fabian Maccarini Peruchi ◽

Alessandra Deise Sebben ◽

Martina Lichtenfels ◽

Marcos Ricardo de Oliveira Jaeger ◽

Jefferson Braga Silva

Keyword(s):

Experimental Study ◽

Bone Graft ◽

Iliac Crest ◽

Vascularized Bone Graft ◽

Vascularized Bone ◽

Iliolumbar Artery

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Far Lateral Disc Excision at L5–S1 Complicated by Iliolumbar Artery Incursion: Case Report

Neurosurgery ◽

10.1097/00006123-200106000-00045 ◽

2001 ◽

Vol 48 (6) ◽

pp. 1377-1380 ◽

Cited By ~ 1

Author(s):

J. Frederick Harrington

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Preoperative Magnetic Resonance Imaging ◽

Resonance Imaging ◽

Internal Iliac ◽

Preoperative Magnetic Resonance ◽

Far Lateral ◽

Iliolumbar Artery

Abstract OBJECTIVE AND IMPORTANCE Paramedial approaches to far lateral discs at the L5–S1 space joint have advantages but may also bring the surgical space closer to large branch arteries of the internal iliac artery. I report incursion into an iliolumbar artery that required laparotomy to control hemorrhage. Surgeons performing extraforaminal disc explorations at L5–S1 need to evaluate preoperative magnetic resonance imaging scans for an enlarged iliolumbar artery near the disc space. CLINICAL PRESENTATION The patient presented with a right L5 radiculopathy and a far lateral disc at L5–S1, as indicated by analysis of her magnetic resonance imaging scan. INTERVENTION A midline incision and an extraforaminal exposure were performed. Arterial bleeding occurred when an anular disc fragment was removed with a pituitary rongeur under direct vision with microscopic magnification. Emergency laparotomy demonstrated hemorrhage from a branch of the internal iliac artery 2 cm from its origin. CONCLUSION Iliolumbar artery variants may be at the margins of extraforaminal disc exposure at L5–S1. Preoperative magnetic resonance imaging scans should be evaluated for this vasculature structure.

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Surgical anatomy of the anastomoses of the iliolumbar artery

Health and Ecology Issues ◽

10.51523/2708-6011.2021-18-2-5 ◽

2021 ◽

pp. 33-39

Author(s):

A. V. Kuzmenko

Keyword(s):

Preparation Method ◽

Statistical Processing ◽

Surgical Anatomy ◽

Time Of Death ◽

Men And Women ◽

Injection Method ◽

Definite Pattern ◽

Dead Bodies ◽

Iliolumbar Artery ◽

Vascular Injection

Objective: to determine the variants of topography and quantity of the anastomoses of the iliolumbar artery.Materials and methods. The material of the research was 206 dead bodies of men (aged 22–82 at the time of death) and 113 dead bodies of women (aged 32–93 at the time of death) who had died of accidental causes not related to pelvic pathology. The vascular injection method, preparation method were used to achieve the objective of the study. The statistical processing of the obtained data was performed.Results. It has been found that the formation of the anastomoses of the iliolumbar artery is most often found in its proximal and middle thirds, signiﬁcantly rarely — in its distal third. We have revealed no statistically signiﬁcant differences between the average diameters of the iliolumbar artery and the average diameters of its anastomoses in men.Conclusion. The performed research has demonstrated that the anastomoses of the iliolumbar artery in men and women have a deﬁnite pattern of origination.

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Assessment of the iliolumbar artery: its structural variations and applied aspect

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213074 ◽

2021 ◽

Vol 9 (8) ◽

pp. 2304

Author(s):

Parul Upadhayay ◽

Ranjeeta Hansdak ◽

Sneh Agarwal

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Lumbar Region ◽

Structural Variations ◽

Medical College ◽

Internal Iliac ◽

The Mean ◽

Posterior Division ◽

Relationship Of ◽

Iliolumbar Artery

Background: The Iliolumbar artery normally arises from the posterior division of Internal iliac artery. The main artery and its two branches supply the iliacus and lumbar region and other vital structures in that area. However, various studies conducted depict the differences in the pattern of its origin and course. Thus, the goal of this study was to discover the various origins of the iliolumbar artery, as well as its relationships with other surgically significant anatomical structures; the importance of which can prevent any intraoperative hemorrhages during surgery.Methods: The study was conducted in Department of Anatomy Lady Hardinge Medical College between 2019-2021. Pelvis of 12 formalin fixed adult cadavers (8 females, 4 males) were dissected to observe the iliolumbar artery. Its origin, caliber and course were measured using a digital vernier caliper. The relationship of iliolumbar artery was established with obturator nerve, lumbosacral trunk and sympathetic chain.Results: Iliolumbar artery was originating from trunk of internal iliac artery in 70.83% cases in which the mean distance of origin and mean caliber was more on right side. In the remaining 29.17% cases where the Iliolumbar artery was arising from posterior division of internal iliac artery, the mean distance of origin and mean caliber was higher on left side. The truncal origin of iliolumbar artery was predominant in females.Conclusions: The variant origin of the iliolumbar artery and its clinic-anatomical relationships have been highlighted to reduce iatrogenic artery trauma during surgery.

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