Endovascular hypogastric artery preservation during endovascular aneurysm repair: a review of current techniques and devices.

Khaldoun Bekdache, Alan M Dietzek, Andrew Cha, Vladimir Neychev

Journal: Annals of vascular surgery 2016;29(2):367-76

PMID: 25433280

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Abstract

Despite the improvement in endovascular techniques, one aspect of aneurysmal disease that continues to be challenging is the management of aortoiliac aneurysms. Sacrificing the hypogastric artery (HGA) for effective treatment is not without sequelae, which may include buttocks claudication, colonic ischemia, spinal cord ischemia, as well as buttock and scrotal necrosis. This should be taken into consideration particularly in patients with previous intervention or potential additional future interventions. This review describes the current endovascular techniques for preservation of HGA perfusion.

Address: Department of Surgery, Danbury Hospital, Danbury, CT.; Department of Surgery, Danbury Hospital, Danbury, CT. Electronic address: [email protected].

DOI: 10.1016/j.avsg.2014.10.019

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MeSH Terms: Aortic Aneurysm, Abdominal, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Endoleak, Endovascular Procedures, Humans, Iliac Aneurysm, Iliac Artery, Ischemia