Value of bilateral hypogastric artery occlusion for severe obstetric hemorrhage

2002 ◽  
Vol 187 (3) ◽  
pp. 821
Author(s):  
José Miguel Palacios Jaraquemada
2001 ◽  
Vol 185 (6) ◽  
pp. S109
Author(s):  
Stephanie Penning ◽  
Kelly Roy ◽  
Julie Kuykendall ◽  
Gwenda Jonas ◽  
Carol Major ◽  
...  

Aorta ◽  
2019 ◽  
Vol 07 (01) ◽  
pp. 022-026
Author(s):  
Mario D'Oria ◽  
Cristiano Calvagna ◽  
Stefano Chiarandini ◽  
Barbara Ziani

AbstractA 65-year-old man, with previous open surgical repair of an infrarenal abdominal aortic, presented with acute complicated (paraplegia) Type B aortic dissection. He successfully underwent endovascular repair of the descending thoracic and abdominal aorta. Following the procedure, the neurological manifestations resolved. As he had a concomitant aneurysm of the right hypogastric artery (HGA), we executed a 10-minute balloon occlusion of this artery with evoked potential measurements to assess the risk of spinal cord ischemia after exclusion of the right HGA. The examination was interpreted as negative, and we proceeded with coil embolization of the right HGA and subsequent placement of an endograft landing distally within the external iliac artery. The postoperative course was totally uneventful, and the patient was discharged home 4 days after the operation. Computed tomography angiography follow-up at 1, 6, 12 and 24 months showed patency of all endografts without any signs of endoleak and effective remodeling of the descending thoracic aorta with volume reduction of the false lumen.


2017 ◽  
Vol 26 (6) ◽  
pp. 362-371 ◽  
Author(s):  
Wuttichai Saengprakai ◽  
Joost A. van Herwaarden ◽  
George S. Georgiadis ◽  
Worawong Slisatkorn ◽  
Frans L. Moll

2008 ◽  
Vol 48 (5) ◽  
pp. 1121-1124 ◽  
Author(s):  
Frank Vandy ◽  
Enrique Criado ◽  
Gilbert R. Upchurch ◽  
David M. Williams ◽  
John Rectenwald ◽  
...  

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 575-579 ◽  
Author(s):  
Manfred Kalteis ◽  
Odo Gangl ◽  
Florian Huber ◽  
Peter Adelsgruber ◽  
Manfred Kastner ◽  
...  

Purpose To report the long-term results for patients treated with endovascular aneurysm repair and additional embolization and coverage of the hypogastric artery compared with patients treated with simple endovascular aneurysm repair. Methods A database of our endovascular aneurysm repair patient cohort was reviewed to find patients with iliac artery aneurysms. The baseline characteristics, the procedural data and the results for patients treated with endovascular aneurysm repair and concomitant hypogastric artery embolization were compared with those for patients treated with simple endovascular aneurysm repair. The results were analyzed for significant differences. Results Of 106 endovascular aneurysm repair patients treated at our vascular unit from 2001 to 2010, 24 had undergone additional hypogastric artery embolization. The complication rate was significantly increased in this group (12.5% vs. 2.4%; p = 0.041), and the long-term results were significantly poorer. Additional hypogastric artery embolization resulted in late rupture (1.2% vs. 12.5%; p = 0.036), buttock claudication (8.6% vs. 43.8%; p = 0.001) and new onset erectile dysfunction (17.3% vs. 42.9%; p = 0.043). Conclusion Endovascular aneurysm repair with extension of the stent graft to the external iliac artery and embolization of the hypogastric artery was associated with more complications and worse long-term results compared with simple endovascular aneurysm repair.


Sign in / Sign up

Export Citation Format

Share Document