scholarly journals Resection of Advanced Cecum Cancer Invading the Right External Iliac Artery and Vein Preceded by Vascular Reconstruction—Report of a Case—

2017 ◽  
Vol 78 (6) ◽  
pp. 1312-1317
Author(s):  
Shohei TAKAICHI ◽  
Yoshikazu MORIMOTO ◽  
Hiromichi FUJII ◽  
Nobutaka HATANAKA ◽  
Takafumi HIRAO ◽  
...  
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Vascular Reconstruction ◽  
Cecum Cancer ◽  
The Right

scholarly journals Endovascular treatment of arterio-ureteral fistula with new-generation balloon-expandable stent graft using a 7-French system

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095921
Author(s):  
Naoki Yoshioka ◽  
Kensuke Takagi ◽  
Yasuhiro Morita ◽  
Makoto Kawase ◽  
Itsuro Morishima
Keyword(s):  
Computed Tomography ◽  
Stent Graft ◽  
Iliac Artery ◽  
Uterine Cancer ◽  
External Iliac Artery ◽  
Clinical History ◽  
Massive Bleeding ◽  
Stent Grafts ◽  
Ureteral Fistula ◽  
The Right

Arterio-ureteral fistulas are relatively rare, but a potentially life-threatening condition because of the possible massive bleeding. An 82-year-old woman with a history of hysterectomy and irradiation for uterine cancer was treated with ureteric stents for recurrent bilateral ureteral stenosis. During the adjustments of the stent, removing the right ureteric stent immediately resulted in massive hematuria. Computed tomography showed that the right ureter coursed above and seemed to be connected to the right external iliac artery. From the clinical history and computed tomography findings, an arterio-ureteral fistula between the right external iliac artery and right ureter was strongly suspected. The GORE® VIABAHN® VBX Stent Graft was deployed from the common iliac artery to the external iliac artery via a 7-French femoral system, followed by post-dilatation. The patient did not develop any complications or recurrence of hematuria after the procedure during the 11-month follow-up. The VBX is a useful device, with a low- profile device and a size-adjustable balloon-expandable stent that depended on the individual vessel size for post-dilatation. However, there are several concerns, such as risk of infection, stent thrombosis/stenosis, and chronic outcome while using stent grafts for treatment. Patients with arterio-ureteral fistulas who were treated using stent grafts should be carefully followed up.

scholarly journals A Case of Hypoplasia of the Right External Iliac Artery.

1998 ◽  
Vol 59 (3) ◽  
pp. 833-836
Author(s):  
Nobuaki CHIKU ◽  
Nanao NEGISHI ◽  
Yoshiyuki ISHII ◽  
Seiryu NIINO ◽  
Hideo KOHNO ◽  
...  
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
The Right

Combined Catheter Embolization and Femorofemoral Bypass for Pseudoaneurysm of the Right External Iliac Artery: Report of a Case

Surgery Today ◽  
1999 ◽  
Vol 29 (1) ◽  
pp. 83-85 ◽  
Author(s):  
Shoji Watarida ◽  
Shoichiro Shiraishi ◽  
Kazuhiko Katsuyama ◽  
Yasuhiko Nakajima ◽  
Rie Yamamoto ◽  
...  
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Catheter Embolization ◽  
The Right ◽  
Femorofemoral Bypass

Combined catheter embolization and femorofemoral bypass for pseudoaneurysm of the right external iliac artery: Report of a case

Surgery Today ◽  
1999 ◽  
Vol 29 (1) ◽  
pp. 83-85 ◽  
Author(s):  
Shoji Watarida ◽  
Shoichiro Shiraishi ◽  
Kazuhiko Katsuyama ◽  
Yasuhiko Nakajima ◽  
Rie Yamamoto ◽  
...  
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Catheter Embolization ◽  
The Right ◽  
Femorofemoral Bypass

A 42-year-old woman with acute myocardial infarction

Heart ◽  
2018 ◽  
Vol 104 (19) ◽  
pp. 1607-1607 ◽  
Author(s):  
James K Fahey ◽  
Abdul Rahman Ihdayhid ◽  
Anthony John White
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Iliac Artery ◽  
Fibromuscular Dysplasia ◽  
External Iliac Artery ◽  
List Type ◽  
System A ◽  
Invasive Angiography ◽  
St Elevation ◽  
The Right

Clinical introductionA 42-year-old woman presented with anterior ST elevation myocardial infarction. Urgent coronary angiography revealed tapering then occlusion of the distal left anterior descending (LAD) coronary artery with no flow in the distal LAD (figure 1A). Balloon angioplasty with a 2.0×8 mm balloon re-established flow into the distal LAD. An angiogram of the right external iliac artery was also performed (figure 1B).Figure 1Invasive angiography of the left coronary system (A) and the right external iliac artery (B). The coronary angiogram (A) shows tapering and then occlusion (arrow) of the distal left anterior descending coronary artery.QuestionWhich of the following explains the abnormal appearance of the external iliac artery (figure 1B)?Atherosclerosis.Concertina effect.Fibromuscular dysplasia.Perforation.Multiple aneurysms.

Critical presentation and management of an acute gastrointestinal haemorrhage as a result of an arterioenteric fistula secondary to a failed pancreatic allograft

2021 ◽  
Vol 14 (7) ◽  
pp. e242549
Author(s):  
Anastasia Naritsin ◽  
Jessica Peck
Keyword(s):  
Iliac Artery ◽  
Gastrointestinal Symptoms ◽  
Gastrointestinal Haemorrhage ◽  
External Iliac Artery ◽  
Blood Product Transfusion ◽  
Arterial Haemorrhage ◽  
Low Platelet Count ◽  
The Right ◽  
Transfusion Protocol ◽  
Arterioenteric Fistula

We present a case of a 60-year-old woman status post failed pancreatic transplant, presenting with right lower extremity pain and large volume rectal bleeding. The team initiated a massive transfusion protocol. Investigations revealed an arterioenteric (AE) fistula between the right external iliac artery and terminal ileum. The patient was then emergently sent for right iliac artery stent placement, successfully stopping the active arterial haemorrhage. Afterwards, the surgical team transected the pancreatic jejunal anastomosis, subsequently resecting 7 cm of jejunum. On postoperative day 1, the patient became unstable, going into disseminated intravascular coagulation evidenced by low platelet count, elevated prothrombin time and bloody output from multiple sites. Resuscitation with pressors and blood product transfusion was unsuccessful. She was made comfort measures only and expired shortly after extubation. Although a rare aetiology, it is important to consider AE fistulas in patients presenting with vascular and gastrointestinal symptoms in the setting of a failed allograft.

Emergent Endovascular Repair of Challenging Aortocaval Fistula With Hostile Anatomy

2017 ◽  
Vol 51 (5) ◽  
pp. 255-260 ◽  
Author(s):  
Yuewei Wang ◽  
Wenjuan Yu ◽  
Yongxin Li ◽  
Haofu Wang
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Iliac Artery ◽  
Endovascular Repair ◽  
Computed Tomography Angiography ◽  
External Iliac Artery ◽  
Aortocaval Fistula ◽  
The Right ◽  
Great Neck ◽  
Aortic Cuff

Aortocaval fistula (ACF) is a rare complication. Endovascular repair is an option for this fatal condition. However, endoleak and persistent fistula may occur and lead to technical failure. We performed endovascular repair for 3 cases of challenging ACF with hostile anatomy. Patient 1 was an 80-year-old man who complained of abdominal distension and lower limb edema for 15 days. He had renal and cardiac dysfunction. Computed tomography angiography (CTA) showed an ACF and extreme tortuosity of right iliac artery. The super-stiff guidewire could not pass the right iliac artery. We performed endovascular repair and an occluder was used to block the right external iliac artery. Postoperative CTA showed migration of the occluder, and we ligated the right external iliac artery. The patient survived for 5 years. Patient 2 was a 78-year-old man who complained of an acute abdominal pain for 30 hours. Computed tomography angiography showed great neck angulation (63.3°) and a huge aneurysm (9.9 cm in diameter). A type 1A endoleak occurred and an aortic cuff was deployed at the proximal seal zone. Meanwhile, a type 3 endoleak occurred because of the migration and detachment of the left iliac limb. Another stent-graft was deployed to connect the iliac limb. The patient was followed up for 1 year and remained in a good condition. Patient 3 was a 74-year-old man who experienced severe abdominal pain for 1 day. Computed tomography angiography showed great neck angulation (66°) and a huge aneurysm (10.1 cm in diameter). A type 1A endoleak occurred, and an aortic cuff was deployed at the proximal seal zone. The patient was followed up for 6 months. In conclusion, ACF is a rare but a fatal condition. Acute cases and chronic cases with instable hemodynamics need urgent diagnosis and surgical intervention. Endovascular repair is an efficacious alternative to the traditional open repair.

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