Colonic ischemia after endovascular exclusion of an aortoiliac aneurysm using an iliac branch device.
Vasc Endovascular Surg
; 44(7): 597-600, 2010 Oct.
Article
em En
| MEDLINE
| ID: mdl-20484063
ABSTRACT
PURPOSE:
To present the first case of colonic ischemia (CI) after endovascular exclusion of an aortoiliac aneurysm using an iliac branch device (IBD). CASE REPORT A 69-year-old male patient with an abdominal aortic and right common iliac artery aneurysm underwent endovascular repair with an IBD. Completion angiography demonstrated good patency in 2 of the 3 main branches of the right internal iliac artery (IIA) whereas the left IIA patency was preserved. Preoperatively, the inferior mesenteric artery (IMA) was patent. Postoperatively, the patient presented moderate CI. He was treated conservatively and discharged 15 days later with recession of the symptoms.CONCLUSION:
Although preservation of bilateral iliac artery patency is considered to diminish the incidence of pelvic ischemia, in case of an exclusion of a patent IMA, collaterals may not be adequate to ensure blood supply to the left colon.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prótese Vascular
/
Aneurisma Ilíaco
/
Colite Isquêmica
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Aneurisma da Aorta Abdominal
/
Colo
/
Implante de Prótese Vascular
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Procedimentos Endovasculares
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Isquemia
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Vasc Endovascular Surg
Ano de publicação:
2010
Tipo de documento:
Article