Buttock claudication after interventional occlusion of the hypogastric artery--a mid-term follow-up.
Vasc Endovascular Surg
; 46(3): 236-41, 2012 Apr.
Article
en En
| MEDLINE
| ID: mdl-22442007
BACKGROUND: Interventional occlusion of the hypogastric artery (HA) can be used for endovascular aneurysm repair (EVAR) in the iliac arteries. Most frequent ischemic complication is buttock claudication (BC). AIM: To investigate the frequency and progression of BC after interventional occlusion of the HA prior to EVAR. METHODS: A retrospective analysis was performed in patients with EVAR and occlusion of the HA between September 2004 and August 2010. Acute and persistent BC symptoms were assessed. RESULTS: Fifty-four catheter occlusions of the HA were performed. In 10 cases, claudication could not be evaluated. During a mean follow-up of 17 months, 23 occlusions (52.3%) of the HA showed BC, in 52% symptoms were persistent. Of the 5 patients, 3 patients who underwent bilateral occlusion had BC and in 2 cases, persistent in the follow-up. CONCLUSION: Buttock claudication after occlusion of the HA prior to EVAR is a frequent complication, which often persists during follow-up. Alternatives that maintain pelvic perfusion should be considered.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pelvis
/
Nalgas
/
Aneurisma Ilíaco
/
Aneurisma de la Aorta Abdominal
/
Implantación de Prótesis Vascular
/
Embolización Terapéutica
/
Procedimientos Endovasculares
/
Claudicación Intermitente
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Vasc Endovascular Surg
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Alemania
Pais de publicación:
Estados Unidos