Endovascular Treatment of Claudication due to Isolated Internal Iliac Artery Occlusive Disease.
Ann Vasc Surg
; 57: 48.e1-48.e5, 2019 May.
Article
em En
| MEDLINE
| ID: mdl-30114502
ABSTRACT
Aortoiliac occlusive disease is a common cause of lower extremity claudication. Patients are typically found to have diminished femoral pulses and abnormal noninvasive vascular studies of the lower extremities. Isolated lesions of the internal iliac arteries are much less commonly treated but can cause similar claudication symptoms in the buttocks, hips, or thighs. Occlusive disease in the internal iliac artery is more challenging to diagnose because the lower extremity pulses and vascular studies can be normal. This may falsely steer the diagnosis away from a vascular etiology. We present a case of disabling buttock claudication in a patient with normal pulses and isolated ipsilateral internal iliac artery stenosis. This was treated successfully with drug-eluting balloon angioplasty. We review the literature for similar cases of isolated internal iliac artery occlusive disease and summarize the disease characteristics and treatment modalities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nádegas
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Angioplastia com Balão
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Doença Arterial Periférica
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Artéria Ilíaca
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Claudicação Intermitente
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Isquemia
Limite:
Aged80
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Humans
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Male
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article