Robotic total pelvic exenteration with en bloc pelvic side wall clearance and internal iliac artery resection ‐ a video vignette

2021 ◽  
Author(s):  
Emma Cole ◽  
Dora Huang ◽  
José Tomás Larach ◽  
Amrish Rajkomar ◽  
Keith Chip Farmer ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Pelvic Exenteration ◽  
Internal Iliac Artery ◽  
Side Wall ◽  
Total Pelvic Exenteration ◽  
En Bloc ◽  
Internal Iliac ◽  
Artery Resection ◽  
Video Vignette

Preoperative evaluation of iliac blood vessels for first kidney transplant recipients: Combination of conventional and contrast-enhanced ultrasonography

2021 ◽  
pp. 1-11
Author(s):  
Wen-qi Yang ◽  
Xiao-lan Cui ◽  
Ming Zhang ◽  
Xiao-dong Yuan ◽  
Liang Ying ◽  
...  
Keyword(s):  
Blood Vessels ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Operative Strategy ◽  
Post Transplant ◽  
Transplant Outcomes ◽  
Contrast Enhanced ◽  
Internal Iliac ◽  
Contrast Enhanced Ultrasonography ◽  
Us Findings

OBJECTIVE: To assess iliac blood vessels using conventional ultrasound (US) and contrast-enhanced ultrasonography (CEUS) before kidney transplantation (KT) and determine whether US findings related to post-transplant outcomes. METHODS: A total of 119 patients received US and CEUS before KT waiting-list acceptance. The preoperative iliac blood hemodynamics and vascular conditions were evaluated. The operative strategy and follow-up outcomes were recorded. Logistic regression and correlation analysis were used. The accuracy in determining the patency of iliac blood vessels was calculated before and after the injection of contrast materials. RESULTS: CEUS can help to significantly improve the visualization of the internal iliac artery, but there was no significant correlation with post-transplant outcomes. In terms of accuracy, there were significant differences in determining the patency of internal iliac arteries between conventional US and CEUS (60.5% and 100%, p <  0.001). The surgical strategy of one patient was regulated and two patients were excluded from KT according to US findings. CONCLUSIONS: Compared with conventional US, CEUS helps to improve the visualization of the internal iliac artery. Conventional US and CEUS have the potential to serve as effective methods to evaluate anatomy and hemodynamics of iliac vessels and have a potential value while defining clinical algorithms in surgery decision-making.

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

2020 ◽  
pp. 153857442098181
Author(s):  
Paolo Perini ◽  
Erica Mariani ◽  
Mara Fanelli ◽  
Alessandro Ucci ◽  
Giulia Rossi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Iliac Artery ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Internal Iliac Artery ◽  
Cochrane Library ◽  
Hypogastric Artery ◽  
Stent Grafting ◽  
Buttock Claudication ◽  
Internal Iliac

Objectives: The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes. Methods: We performed a systematic review of the literature (database searched: PubMed, Web of Science, Scopus, Cochrane Library; last search: April 2020). We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model. Results: Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I2 54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I2 88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were: embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181). Overall estimated technical success (TS) rate was 91.6% (95% CI 86.8-95.5; I2 45.82%, P = .031). TS rate was 94.5% for open surgery (95%CI 85.3-100; I2 0%, P = .907), and 89.7% for endovascular repair (95%CI 83.8-95.6; I2 55.43%, P = .006). Estimated overall 30-day mortality was 3.1% (95%CI 0.8-5.4; I2 0%, P = .969). Mortality rates after open surgery and endovascular repair were 8.2% (95%CI 3.4-19.8; I2 0%, P = .545) and 2.8% (95%CI 0.5-5.1; I2 0%, P = .994), respectively. Estimated mean follow-up was 32.63 months (95%CI 21.74-43.53; I2 94.45%, P < .001). During this timeframe, IIIAA exclusion was preserved in 92.8% of the patients (95%CI 89.3-96.2; I2 0%, P = .797). Buttock claudication occurred in 13.9% of the patients (95%CI 8.7-19.2; I2 0%, P = .622). Conclusions: IIIAA are frequently large, and symptomatic at presentation. Several treatments are proposed in literature, open and endovascular, both with good results. The endovascular treatment is the preferred method of treatment in literature, since it offers good short- to mid-term results and low early mortality. Buttock claudication after hypogastric artery exclusion is a common complication.

scholarly journals Pseudoaneurysm of the internal iliac artery resulting in massive per-rectal bleeding

2013 ◽  
Vol 2013 (10) ◽  
pp. rjt069-rjt069 ◽  
Author(s):  
T. I. Arthur ◽  
C. J. Gillespie ◽  
W. Butcher ◽  
C. T. Lu
Keyword(s):  
Rectal Bleeding ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Internal Iliac

scholarly journals Bilateral Internal Iliac Artery Interruption Is Safe in Patients Undergoing Endovascular Aortic Aneurysm Repair

2021 ◽  
Vol 74 (3) ◽  
pp. e95-e96
Author(s):  
Heepeel Chang ◽  
Frank J. Veith ◽  
Caron B. Rockman ◽  
Neal S. Cayne ◽  
Glenn R. Jacobowitz ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Endovascular Aortic Aneurysm Repair ◽  
Internal Iliac ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair
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