Clinical outcome of internal iliac artery occlusions during endovascular treatment of aortoiliac aneurysmal diseases

Chenwei Lee, John Kaufman, Chieh Min Fan, Stuart C. Geller, David C. Brewster, Richard P. Cambria, Glenn M. Lamuraglia, Jonathan P. Gertler, William M. Abbott, Arthur C. Waltman

Research output: Contribution to journalArticle

103 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)567-571
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume11
Issue number5
StatePublished - May 2000
Externally publishedYes

Fingerprint

Iliac Artery
Therapeutics
Arteries
Buttocks
Pressure Ulcer
Abdominal Aorta
Ambulatory Care
Thigh
Aneurysm
Cause of Death
Anatomy
Ischemia
Morbidity
Pain

Keywords

  • Aneurysm, abdominal
  • Aneurysm, therapy
  • Endovascular stent-graft
  • Hypogastric artery, occlusion
  • Iliac arteries, stenosis or obstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Clinical outcome of internal iliac artery occlusions during endovascular treatment of aortoiliac aneurysmal diseases. / Lee, Chenwei; Kaufman, John; Fan, Chieh Min; Geller, Stuart C.; Brewster, David C.; Cambria, Richard P.; Lamuraglia, Glenn M.; Gertler, Jonathan P.; Abbott, William M.; Waltman, Arthur C.

In: Journal of Vascular and Interventional Radiology, Vol. 11, No. 5, 05.2000, p. 567-571.

Research output: Contribution to journalArticle

Lee, C, Kaufman, J, Fan, CM, Geller, SC, Brewster, DC, Cambria, RP, Lamuraglia, GM, Gertler, JP, Abbott, WM & Waltman, AC 2000, 'Clinical outcome of internal iliac artery occlusions during endovascular treatment of aortoiliac aneurysmal diseases', Journal of Vascular and Interventional Radiology, vol. 11, no. 5, pp. 567-571.
Lee, Chenwei ; Kaufman, John ; Fan, Chieh Min ; Geller, Stuart C. ; Brewster, David C. ; Cambria, Richard P. ; Lamuraglia, Glenn M. ; Gertler, Jonathan P. ; Abbott, William M. ; Waltman, Arthur C. / Clinical outcome of internal iliac artery occlusions during endovascular treatment of aortoiliac aneurysmal diseases. In: Journal of Vascular and Interventional Radiology. 2000 ; Vol. 11, No. 5. pp. 567-571.
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AU - Kaufman, John

AU - Fan, Chieh Min

AU - Geller, Stuart C.

AU - Brewster, David C.

AU - Cambria, Richard P.

AU - Lamuraglia, Glenn M.

AU - Gertler, Jonathan P.

AU - Abbott, William M.

AU - Waltman, Arthur C.

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N2 - 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.

AB - 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.

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KW - Endovascular stent-graft

KW - Hypogastric artery, occlusion

KW - Iliac arteries, stenosis or obstruction

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