Management of hypogastric artery in endovascular repair of abdominal aortic aneurysm
- VernacularTitle:腹主动脉瘤腔内修复术中髂内动脉的处理
- Author:
Jia ZHANG
;
Wei GUO
;
Xiaoping LIU
- Publication Type:Journal Article
- Keywords:
Aortic aneurysm,abdominal;
Angioplasty;
Endovascular repair;
Blood vessel prosthesis implantation;
Hypogastric artery
- From:
Chinese Journal of Interventional Cardiology
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize our experiences of management for hypogastric artery in endovascular repair(EVR) of infrarenal abdominal aortic aneurysm(IAAA).Methods From July,1997 to March,2007,62 cases of IAAAs required special management of the internal iliac artery(IIA) during the EVR.Among them,57 cases were type C AAA who included 35 cases of unilateral common iliac artery(CIA) bifurcations and 22 cases of bilateral iliac bifurcations.The remaining 5 cases involved superior iliac bifurcations.Various techniques including simple coverage by stent-graft,embolization of the IIA trunk combined with stent-graft covering,reconstruction of the IIA and combination of the above techniques were applied according to the different conditions of the IIA involved.Results None of the 62 patients required conversion to surgical repair.Immediate post operational angiography demonstrated type Ⅰ endoleak in 6 cases(9.7%).Claudication due to gluteus ischemia occurred in 5 cases(8.1%),leg numbness in 1 case(1.6%),and severe constipation in 1 case(1.6%),but no buttock and colorectal necrosis was recorded.Conclusion It is important to preserve one of the hypogastric arteries and avoid occlusion of both hypogastric arteries in EVR of IAAA.
