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Richard A Mitchell - One of the best experts on this subject based on the ideXlab platform.

  • external Iliac Artery to Internal Iliac Artery endograft a novel approach to preserve pelvic inflow in aortoIliac stent grafting
    Journal of Vascular Surgery, 2002
    Co-Authors: Thomas M Bergamini, Elizabeth S Rachel, Edward V Kinney, Matthew T Jung, Hermann W Kaebnick, Richard A Mitchell
    Abstract:

    Abstract Purpose: To describe four patients with abdominal aortic aneurysm and bilateral common Iliac Artery aneurysms repaired by coil embolization of the ipsilateral Internal Iliac Artery, aortouniIliac endograft extended to the ipsilateral external Iliac Artery, femorofemoral bypass grafting, and a contralateral external Iliac to Internal Iliac stent graft to preserve pelvic perfusion. Methods: Four patients with multiple risk factors, abdominal aortic aneurysm (mean diameter, 6.6 cm), and bilateral common Iliac Artery aneurysms were evaluated with contrast-enhanced computed tomography scanning, arteriography, and intravascular ultrasonography. AortobiIliac endovascular abdominal aortic aneurysm repair was not feasible because of extension of the common Iliac Artery aneurysms to the Iliac bifurcation bilaterally. Results: The abdominal aortic aneurysms were repaired with an aortouniIliac endograft. The ipsilateral common Iliac Artery aneurysms were treated by coil embolization of the Internal Iliac Artery and extension of the endograft to the external Iliac Artery. The contralateral common Iliac Artery aneurysms were excluded by a custom-made stent graft (n = 2) or a commercial stent graft (n = 2) from the external Iliac Artery to the Internal Iliac Artery, which preserved pelvic inflow via retrograde perfusion from the femorofemoral bypass. Mean length of stay was 3.5 days. One patient had hip claudication. Follow-up (mean 10 months, range 6 to 17) demonstrated exclusion of the abdominal aortic aneurysm and common Iliac Artery aneurysms with no endoleak and patent external Iliac Artery–to–Internal Iliac Artery endografts in all patients. Conclusion: Patients with bilateral common Iliac Artery aneurysms that extend to the Iliac bifurcation may be excluded from endovascular abdominal aortic aneurysm repair because of concerns regarding pelvic ischemia after occlusion of both Internal Iliac arteries. External Iliac Artery–to–Internal Iliac Artery endografting is a feasible alternative to maintain pelvic perfusion and still allow endograft repair of the abdominal aortic aneurysm in these patients. (J Vasc Surg 2002;35:120-4.)

Thomas M Bergamini - One of the best experts on this subject based on the ideXlab platform.

  • external Iliac Artery to Internal Iliac Artery endograft a novel approach to preserve pelvic inflow in aortoIliac stent grafting
    Journal of Vascular Surgery, 2002
    Co-Authors: Thomas M Bergamini, Elizabeth S Rachel, Edward V Kinney, Matthew T Jung, Hermann W Kaebnick, Richard A Mitchell
    Abstract:

    Abstract Purpose: To describe four patients with abdominal aortic aneurysm and bilateral common Iliac Artery aneurysms repaired by coil embolization of the ipsilateral Internal Iliac Artery, aortouniIliac endograft extended to the ipsilateral external Iliac Artery, femorofemoral bypass grafting, and a contralateral external Iliac to Internal Iliac stent graft to preserve pelvic perfusion. Methods: Four patients with multiple risk factors, abdominal aortic aneurysm (mean diameter, 6.6 cm), and bilateral common Iliac Artery aneurysms were evaluated with contrast-enhanced computed tomography scanning, arteriography, and intravascular ultrasonography. AortobiIliac endovascular abdominal aortic aneurysm repair was not feasible because of extension of the common Iliac Artery aneurysms to the Iliac bifurcation bilaterally. Results: The abdominal aortic aneurysms were repaired with an aortouniIliac endograft. The ipsilateral common Iliac Artery aneurysms were treated by coil embolization of the Internal Iliac Artery and extension of the endograft to the external Iliac Artery. The contralateral common Iliac Artery aneurysms were excluded by a custom-made stent graft (n = 2) or a commercial stent graft (n = 2) from the external Iliac Artery to the Internal Iliac Artery, which preserved pelvic inflow via retrograde perfusion from the femorofemoral bypass. Mean length of stay was 3.5 days. One patient had hip claudication. Follow-up (mean 10 months, range 6 to 17) demonstrated exclusion of the abdominal aortic aneurysm and common Iliac Artery aneurysms with no endoleak and patent external Iliac Artery–to–Internal Iliac Artery endografts in all patients. Conclusion: Patients with bilateral common Iliac Artery aneurysms that extend to the Iliac bifurcation may be excluded from endovascular abdominal aortic aneurysm repair because of concerns regarding pelvic ischemia after occlusion of both Internal Iliac arteries. External Iliac Artery–to–Internal Iliac Artery endografting is a feasible alternative to maintain pelvic perfusion and still allow endograft repair of the abdominal aortic aneurysm in these patients. (J Vasc Surg 2002;35:120-4.)

Caron B Rockman - One of the best experts on this subject based on the ideXlab platform.

  • gluteal compartment syndrome following elective unilateral Internal Iliac Artery embolization before endovascular abdominal aortic aneurysm repair
    Journal of Vascular Surgery, 2004
    Co-Authors: William T Su, David H Stone, Patrick J Lamparello, Caron B Rockman
    Abstract:

    During endovascular abdominal aortic aneurysm repair, aneurysmal involvement of the common or Internal Iliac arteries occasionally necessitates elective occlusion of one or both Internal Iliac arteries. Although elective Internal Iliac Artery occlusion is often well tolerated, it can result in complications such as buttock claudication or rest pain, impotence, and colon ischemia. We report a case of gluteal compartment syndrome following elective unilateral Internal Iliac Artery embolization prior to endovascular abdominal aortic aneurysm repair. On the first postoperative day, the patient developed sciatic nerve palsy, rhabdomyolysis, and renal failure, which promptly resolved after emergent operative exploration of his left buttock and debridement of all grossly necrotic muscle. This case emphasizes the point that, although elective Internal Iliac Artery interruption is usually benign, it can have serious and unexpected complications that necessitate expeditious treatment for complete recovery.

Robert A Morgan - One of the best experts on this subject based on the ideXlab platform.

Darren B Schneider - One of the best experts on this subject based on the ideXlab platform.