Clinical Outcome of Internal Iliac Artery Occlusions during Endovascular Treatment of Aortoiliac Aneurysmal Diseases
| Autor: | Glenn M. LaMuraglia, Arthur C. Waltman, John A. Kaufman, Jonathan P. Gertler, David C. Brewster, Stuart C. Geller, William M. Abbott, Chenwei Lee, Chieh-Min Fan, Richard P. Cambria |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment medicine.disease Internal iliac artery Abdominal aortic aneurysm Surgery Aortic aneurysm Aneurysm medicine.artery Occlusion medicine Radiology Nuclear Medicine and imaging Radiology Artery occlusion Embolization medicine.symptom Cardiology and Cardiovascular Medicine Claudication business |
| Zdroj: | Journal of Vascular and Interventional Radiology. 11:567-571 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/s1051-0443(07)61607-8 |
| Popis: | PURPOSE To determine the clinical outcome of hypogastric artery occlusion in patients who underwent endovascular treatment of aortoiliac aneurysmal disease. MATERIAL AND METHODS From January 1994 to March 1998, 94 patients underwent endovascular treatment of aneurysmal diseases involving the infra-abdominal aorta or iliac arteries. Preoperative and intraoperative radiologic data were reviewed. Discharge summaries, clinic visits, and phone calls formed the basis for clinical follow-up, with a mean follow-up period of 7.3 months (range, 1–24 months). RESULTS Because of the anatomy of the aneurysms, 28 patients required occlusion of one or more hypogastric arteries. One of the 28 patients died of unrelated causes before follow-up. Seven (26%) of the remaining 27 patients developed symptoms attributable to the hypogastric artery occlusions. Five patients developed new buttock or thigh claudication; of these five patients, three with initially mild symptoms noted complete or near complete resolution of symptoms upon follow-up. One patient with originally significant claudication at 2-year follow-up noted near resolution of symptoms. The other patient with severe pain did not improve significantly on final 1-year follow-up before his death (of unrelated causes). Other clinical complications were worsening sexual function in one patient and a nonhealing sacral decubitus ulcer that developed in a debilitated patient in the postoperative setting, which required surgery. No bowel ischemia was observed. CONCLUSION When treating aortoiliac aneurysmal disease through an endovascular approach, the occlusion of internal iliac artery is often necessary but carries with it a small but finite chance of morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|