TY - JOUR
T1 - Pelvic revascularization during endovascular aortic aneurysm repair
AU - Fatima, Javairiah
AU - Correa, Mateus P.
AU - Mendes, Bernardo C.
AU - Oderich, Gustavo S.
PY - 2012/6
Y1 - 2012/6
N2 - Endovascular repair of aortic aneurysms (EVAR) has gained widespread acceptance in the treatment of abdominal aortic aneurysms (AAAs). Prospective studies have shown advantages compared with open surgical repair, including decreased blood loss, operating time, hospital stay, morbidity, and mortality. Approximately 30% of patients treated by EVAR have ectatic or aneurysmal common iliac arteries not suitable for distal sealing zones. In these patients, one of the most commonly utilized options is exclusion of the internal iliac artery (IIA). Decreased pelvic perfusion carries the risk of ischemic complications, including buttock claudication, sexual dysfunction, and other devastating complications such as spinal cord injury, ischemic colitis, and gluteal muscle necrosis. This article summarizes the methods of pelvic revascularization in patients with aortoiliac aneurysms involving one or both common iliac arteries.
AB - Endovascular repair of aortic aneurysms (EVAR) has gained widespread acceptance in the treatment of abdominal aortic aneurysms (AAAs). Prospective studies have shown advantages compared with open surgical repair, including decreased blood loss, operating time, hospital stay, morbidity, and mortality. Approximately 30% of patients treated by EVAR have ectatic or aneurysmal common iliac arteries not suitable for distal sealing zones. In these patients, one of the most commonly utilized options is exclusion of the internal iliac artery (IIA). Decreased pelvic perfusion carries the risk of ischemic complications, including buttock claudication, sexual dysfunction, and other devastating complications such as spinal cord injury, ischemic colitis, and gluteal muscle necrosis. This article summarizes the methods of pelvic revascularization in patients with aortoiliac aneurysms involving one or both common iliac arteries.
KW - aortoiliac aneurysms
KW - iliac branch stent grafts
KW - pelvic revascularization
UR - http://www.scopus.com/inward/record.url?scp=84872156122&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84872156122&partnerID=8YFLogxK
U2 - 10.1177/1531003512468036
DO - 10.1177/1531003512468036
M3 - Article
C2 - 23196714
AN - SCOPUS:84872156122
SN - 1531-0035
VL - 24
SP - 55
EP - 62
JO - Perspectives in Vascular Surgery and Endovascular Therapy
JF - Perspectives in Vascular Surgery and Endovascular Therapy
IS - 2
ER -