Reconstruction of the internal iliac artery in patients with aneurysmal disease: Two case reports

Joh,Jin Hyun; Park,Ho‑Chul

doi:10.3892/etm.2013.1459

2014-March Volume 7 Issue 3

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2014-March Volume 7 Issue 3

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Case Report

Reconstruction of the internal iliac artery in patients with aneurysmal disease: Two case reports

Authors:
- Jin Hyun Joh
- Ho‑Chul Park
View Affiliations / Copyright

Affiliations: Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul 134‑727, Republic of Korea
Pages: 579-582
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Published online on: December 24, 2013

https://doi.org/10.3892/etm.2013.1459
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Abstract

During the endovascular repair of aortoiliac aneurysm, bilateral internal iliac artery (IIA) occlusion may give rise to significant morbidities such as ischemia of buttock or sigmoid colon and erectile dysfunction. Open and endovascular approaches are used to maintain IIA circulation in such cases. The present report describes the cases of two patients who underwent external‑to‑internal iliac artery bypass surgery, one via a novel hybrid approach. The first patient had a right common iliac artery aneurysm without a sufficient distal landing zone for endovascular repair. The distal landing of the device was therefore placed in the right external iliac artery (EIA). The tortuous portion of the right EIA was excised and anastomosed in an end‑to‑end fashion. An external‑to‑internal iliac artery bypass was then performed. The second patient underwent endovascular repair of the IIA aneurysm with a Gore® Viabahn®‑covered stent (W. L. Gore and Associates, Inc., Flagstaff, AZ, USA). This covered stent was anastomosed with the iliac bypass graft. Postoperative pelvic circulation was maintained. In conclusion, this strategy for maintaining IIA flow is a potential novel approach for future use.

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1	Woodburn KR, Chant H, Davies JN, Blanshard KS and Travis SJ: Suitability for endovascular aneurysm repair in an unselected population. Br J Surg. 88:77–81. 2001. View Article : Google Scholar : PubMed/NCBI
2	Karch LA, Hodgson KJ, Mattos MA, Bohannon WT, Ramsey DE and McLafferty RB: Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 32:676–683. 2000. View Article : Google Scholar : PubMed/NCBI
3	Domoto S, Tagusari O, Takai H, Nakamura Y, Seike Y and Ito Y: Pelvic abscess following internal iliac artery embolization prior to endovascular aneurysm repair. J Vasc Surg. 56:1734–1736. 2012. View Article : Google Scholar : PubMed/NCBI
4	DeRubertis BG, Quinones-Baldrich WJ, Greenberg JI, Jimenez JC and Lee JT: Results of a double-barrel technique with commercially available devices for hypogastric preservation during aortoilac endovascular abdominal aortic aneurysm repair. J Vasc Surg. 56:1252–1259. 2012. View Article : Google Scholar
5	Parlani G, Verzini F, De Rango P, et al: Long-term results of iliac aneurysm repair with iliac branched endograft: A 5-year experience on 100 consecutive cases. Eur J Vasc Endovasc Surg. 43:287–292. 2012.PubMed/NCBI
6	Unno N, Inuzuka K, Yamamoto N, Sagara D, Suzuki M and Konno H: Preservation of pelvic circulation with hypogastric artery bypass in endovascular repair of abdominal aortic aneurysm with bilateral iliac artery aneurysms. J Vasc Surg. 44:1170–1175. 2006. View Article : Google Scholar : PubMed/NCBI
7	Rayt HS, Bown MJ, Lambert KV, et al: Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair. Cardiovasc Intervent Radiol. 31:728–734. 2008. View Article : Google Scholar : PubMed/NCBI
8	Conway AM, Modarai B, Taylor PR, et al: Stent-graft limb deployment in the external iliac artery increases the risk of limb occlusion following endovascular aaa repair. J Endovasc Ther. 19:79–85. 2012. View Article : Google Scholar : PubMed/NCBI
9	Franz RW: Unique operative approach for dealing with a tortuous external iliac artery during abdominal aortic aneurysm endografting. Int J Angiol. 18:49–51. 2009. View Article : Google Scholar
10	Alvarez-Tostado J, Moise M, Bena J, et al: The brachial artery: A critical access for endovascular procedures. J Vasc Surg. 49:378–385. 2009. View Article : Google Scholar : PubMed/NCBI
11	Criado F: Iliac arterial conduits for endovascular access: Technical considerations. J Endovasc Ther. 14:347–351. 2007. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Reconstruction of the internal iliac artery in patients with aneurysmal disease: Two case reports

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Abstract

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