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 Todayjournal_title
Surgery todayauthors
Akiyama K,Takazawa A,Hirota J,Yamanishi H,Akazawa T,Maeda Tdoi
10.1007/BF02483054subject
Has Abstractpub_date
1999-01-01 00:00:00pages
313-6issue
4eissn
0941-1291issn
1436-2813pii
10.1007/BF02483054journal_volume
29pub_type
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