scholarly journals Variability of the obturator artery with its surgical implications

2016 ◽  
Vol 33 (02) ◽  
pp. 096-098 ◽  
Author(s):  
J. Tajra ◽  
C. Lima ◽  
F. Pires ◽  
L. Sales ◽  
D. Junqueira ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
Surgical Approach ◽  
Vascular Anatomy ◽  
Anomalous Origin ◽  
Obturator Artery ◽  
Vascular Variations ◽  
The Right ◽  
Adult Cadaver

AbstractThe vascular anatomy of the pelvis has in the retro pubic space one the most dangerous artery variations for the surgical approach. The aim of this study was to evaluate arise from obturator artery and its implications. Eleven specimens were bisected pelvic an adult cadaver. The iliac artery and femoral artery were identified and divided in their branches. The anomalous origin was noted in 22.72% with an anastomotic branch between the external iliac or inferior epigastric vessels found in 13.69%. The right side showed a greater variation than left side with 27.27% versus 18.18%. Our data suggest that retro pubic space has critical vascular variations of the obturator artery with many probabilities of the lesions.

scholarly journals Small vessels study using a radiopaque dye

2002 ◽  
Vol 10 (3) ◽  
pp. 05-08
Author(s):  
Fábio Richieri Hanania ◽  
Maurício Masasi Iamaguchi ◽  
Marcelo Rosa de Rezende
Keyword(s):  
Abdominal Aorta ◽  
Femoral Artery ◽  
Vascular Anatomy ◽  
Radiographic Study ◽  
Small Vessels ◽  
Left Femoral Artery ◽  
The Right ◽  
Pioneer Research ◽  
Do So

The purpose of our research consists of studying a new dye which, besides allowing the macroscopic study of small vessels <FONT FACE=Symbol>¾</FONT> following the pioneer research of Salmon(3) <FONT FACE=Symbol>¾</FONT>, permits the radiographic study due to its radiopacity. To do so, ten rats were utilized and their abdominal aorta was catheterized for the injection of the dye towards the periphery, being the flow of the dye observed along the left femoral artery (the right one was cauterized for occlusion). The results of this injection revealed that the dye penetrates well in extremely small vessels and allows dissection without extravasations. Thus, we believe that this dye has the necessary requirements for the study of details of the vascular anatomy.

scholarly journals Variation in the origin of right obturator artery - A case report

2015 ◽  
Vol 05 (03) ◽  
pp. 105-106
Author(s):  
Rani Nallathamby ◽  
Ramakrishna Avadhani ◽  
Sivarama C. H. ◽  
Meril Ann Soman ◽  
Meera Jacob
Keyword(s):  
Case Report ◽  
Iliac Artery ◽  
High Frequency ◽  
Internal Iliac Artery ◽  
External Iliac Artery ◽  
Anomalous Origin ◽  
Obturator Artery ◽  
Anterior Trunk ◽  
Internal Iliac

AbstractMost commonly, the Obturator artery arises from the anterior trunk of internal iliac artery. However, origin of the Obturator artery from external iliac artery was reported at 25% by Missankov et al. [3], 1.1% by Bergman et al. [1], 1.3% by Jakubowicz and Czerniawska- Grzesinska [2].Due to its high frequency of variations in course and origin, Obturator artery had drawn the attention of anatomists, surgeons and radiologists. In this case report, we are presenting an anomalous origin of right Obturator artery from right external iliac artery. The knowledge of this variation is important anatomically, radiologically and surgically.

scholarly journals Anomalous Internal Carotid Anastomosis to Contralateral Anterior Cerebral Artery

2005 ◽  
Vol 32 (3) ◽  
pp. 359-360 ◽  
Author(s):  
Yasuo Murai ◽  
Yukio Ikeda ◽  
Hidetaka Sato ◽  
Yasuhiro Yamamoto ◽  
Akira Teramoto
Keyword(s):  
Cerebral Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Vascular Anatomy ◽  
Anomalous Origin ◽  
Acute Subdural Hematoma ◽  
Conventional Angiography ◽  
Vascular Abnormalities ◽  
Disturbance Of Consciousness ◽  
The Right

ABSTRACT:Background:Many anomalies and variants in vascular anatomy have been reported in relation to the anterior cerebral artery (ACA). Patients andPatients and Methods:We encountered an apparently novel anomaly in a 30-year-old man admitted for disturbance of consciousness following a traffic accident. Computed tomography revealed an acute subdural hematoma and subarachnoid hemorrhage.Results and conclusions:No vascular abnormalities related to the hemorrhage were detected by conventional angiography, so we concluded that the bleeding was of traumatic origin. Anomalous origin of the ACA was disclosed incidentally, with both A1 segments arising from the right internal carotid artery; no normal A1 segment of the left ACA was visualized. We discuss possible bases for this anomalous origin.

scholarly journals 3 Years Expeimental Study on Abdominal Aortic Aneurysm Patients Who were Treated with Endovascular Aneurysm Repair at Dr. Mohammad Hoesin Hospital Palembang During 1st of January 2018 – 31st of December 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 286-304
Author(s):  
Muhammad Febriandi Djunaidi ◽  
Kemas Muhammad Dahlan ◽  
Fahmi Jaka Yusuf
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Femoral Artery ◽  
Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic ◽  
Mean Diameter ◽  
History Of ◽  
The Mean ◽  
The Right

Abdominal aortic aneurysm (AAA) is a focal dilatation of the aortic segment with an increase of 1.5 times the normal value or ≥3 cm. The risk increases in old age and requires alternative surgery such as EVAR. EVAR is more useful in AAA therapy than surgery with wide incisions. This research was descriptive in RSMH Palembang for 5 years in 1st of January 2018 - 31st of December 2020 with variables of patient clinical characteristics and patient CTA results. The results showed that AAA was more common in men, aged 60-69 years with high school education, risk factors such as a history of CHF, hypertension, CAD, and smoking habits. Angiographic CT result showed proximal diameter > 2 cm, PAU, calcification, iliac aneurysm, and lowest renal artery on the left side. All AAA patients had inferior limb thrombus and angulation > 600. The average of aneurysm is 5.8 cm in diameter and 9.23 cm in length. The mean diameter of the right iliac artery differs from the mean diameter of the left iliac artery. The diameter of the right femoral artery also differs from the diameter of the left femoral artery. AAA patients mostly had no history of CKD, COPD, and DM. The patients were hospitalized for an average of 7 days, especially in the ICU for 2 days.

scholarly journals Direct puncture of an occluded common femoral artery as a new approach for endovascular aortic aneurysm repair

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Shigeo Ichihashi ◽  
Tsunehisa Yamamoto ◽  
Francesco Bolstad ◽  
Keitarou Koshi
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
Surgical Procedure ◽  
Arterial Occlusion ◽  
Common Femoral Artery ◽  
Aortic Aneurysms ◽  
Effective Measure ◽  
Direct Puncture ◽  
The Right ◽  
Aneurysm Repair

Abstract Background Abdominal aortic aneurysms (AAA) which present with a hostile access are not uncommon. When an arterial occlusion continuously involves from the iliac to the femoropopliteal artery, endovascular aneurysm repair (EVAR) can become complex, necessitating an adjunctive surgical procedure. The present report outlines a successful EVAR which was conducted without any adjunctive surgical procedure for an AAA complicated by extensive access vessel occlusion. Case presentation The patient, an 82-year-old male, had a fusiform 50 mm infrarenal AAA. He had a history of above knee amputation of the right leg due to a gangrene from Buerger’s Disease. Despite the continuous occlusions of the right external iliac artery (EIA), common femoral artery (CFA), and superficial femoral and profunda femoris artery, limb ischemia was not observed in his right leg. Since revascularization of the occluded right iliac and femoral arteries was deemed to be too complex technically and no ischemic symptoms were observed, EVAR was performed using the occluded access only for the delivery of the stent graft without restoring the flow. Firstly, the occluded right CFA was punctured under ultrasound guidance. Next, a 0.014 in. guidewire and a microcatheter were successfully navigated to the subintimal space of the right common iliac artery (CIA), these were then exchanged with a reentry device. The reentry device allowed the advancement of a guidewire into the true lumen of the right CIA. Then, a 12Fr sheath for delivery of a contralateral limb was advanced via the occluded right access to aorta, and a 16 Fr sheath for delivery of a main body graft was advanced via a patent left iliac artery. A standard EVAR procedure was subsequently performed. Conclusions EVAR was successfully performed for an AAA complicated with an arterial occlusion from the EIA to the SFA using direct puncture of the occluded CFA. This technique could be an effective measure for cases with a hostile access involving the CFA.

scholarly journals VARIATIONS IN THE BRANCHING PATTERN OF THE INTERNAL ILIAC ARTERY IN AN ADULT MALE – A CASE REPORT. Variaciones en el patrón de ramificación de la arteria ilíaca interna en un varón adulto: informe de un caso

2016 ◽  
Vol 4 (1) ◽  
pp. 25-28
Author(s):  
Satheesha Nayak B ◽  
Srinivasa Rao Sirasanagandla ◽  
Narendra Pamidi ◽  
Raghu Jetti
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Clinical Importance ◽  
Branching Pattern ◽  
Obturator Artery ◽  
Cadaveric Specimen ◽  
Internal Iliac ◽  
Posterior Division ◽  
Anterior Division ◽  
The Right

Variaciones en el patrón de ramificación de la arteria ilíaca interna son ocasionalmente encontradas en las disecciones cadavéricas y las cirugías. Algunas de las variaciones son de importancia quirúrgica y clínica e ignorarlas podría derivar en alarmantes sangrados durante las prácticas quirúrgicas. Evaluamos las variantes en el patrón de la arteria ilíaca interna en un cadáver masculino. La división de la arteria ilíaca interna dio origen a las arterias rectal media y obturatriz. La arteria vesical superior tenía su origen en la arteria obturatriz. La división posterior de la arteria ilíaca interna dio lugar a las arterias iliolumbar, sacra lateral, glútea superior y pudenda interna. La arteria glútea inferior estaba ausente. Variations in the branching pattern of the internal iliac artery are occasionally encountered during cadaveric dissections and surgeries. Some of the variations are of surgical and clinical importance and ignoring them might result in alarming bleeding during surgical procedures. We report variant branching pattern of the right internal iliac artery in a male cadaveric specimen. The anterior division of the internal iliac artery gave origin to obturator and middle rectal arteries. Superior vesical artery took its origin from the obturator artery. The posterior division of the internal iliac artery gave iliolumbar, lateral sacral, superior gluteal and internal pudendal arteries. The inferior gluteal artery was absent.

Case 16.11

2014 ◽  
pp. 779-780
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Common Femoral Artery ◽  
Severe Stenosis ◽  
Iliac Arteries ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

22-year-old man with a history of multiple episodes of bleeding, bruising, and hematomas Coronal VR image from 3D CE MRA of the abdomen and pelvis (Figure 16.11.1) reveals lobulated aneurysms of both external iliac arteries and the right common femoral artery. Note the severe stenosis of the left external iliac artery distal to the aneurysm....

Anomalous Origin of the Inferior Mesenteric Artery from the Right Common Iliac Artery

1999 ◽  
Vol 33 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Scott Sher ◽  
Adhip Mukerjee ◽  
John J. Skillman ◽  
Ducksoo Kim
Keyword(s):  
Iliac Artery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Common Iliac Artery ◽  
Anomalous Origin ◽  
The Right
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