A double bifurcated graft for abdominal aorta and bilateral iliac artery reconstruction.

Abstract:

:Revascularization of the hypogastric artery often tends to be neglected in aortoiliac reconstructive surgery; however, its incomplete revascularization can result in unfavorable complications such as buttock claudication or necrosis, vascular impotence, and colonic ischemia. Multiple vascular lesions in the abdominal aorta and bilateral iliac arteries were reconstructed using a newly designed double bifurcated graft in five male patients. All five patients demonstrated excellent graft limb patency and postoperative improvement of the ankle-brachial pressure index without any clinical signs of ischemia in regions of the hypogastric artery. Thus, we conclude that an aggressive approach toward hypogastric circulation maintenance is essential in aortoiliac reconstructive surgery. By using this double bifurcated graft, rapid and safe revascularization of the bilateral hypogastric arteries concomitant with the external iliac or femoral arteries can be performed.

journal_name

Surg Today

journal_title

Surgery today

authors

Akiyama K,Takazawa A,Hirota J,Yamanishi H,Akazawa T,Maeda T

doi

10.1007/BF02483054

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

313-6

issue

4

eissn

0941-1291

issn

1436-2813

pii

10.1007/BF02483054

journal_volume

29

pub_type

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