J Korean Soc Vasc Surg.
2010 Aug;26(2):124-127.
EVAR with Hypogastric Artery Bypass in Patient with Abdominal Aorto-Iliac Aneurysm
- Affiliations
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- 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. tslee@snubh.org
- 2Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Abstract
- Endovascular aneurysm repair (EVAR) of combined abdominal and iliac aneurysm requires exclusion of the hypogastric artery for prevention of endoleak. However, exclusion of the hypogastric artery is often associated with significant ischemic complications such as hip or buttock claudication, gluteal necrosis and bowel ischemia. Several techniques have been introduced to preserve the flow of the hypogastric artery. We report a successful case of external iliac artery-to-hypogastric artery bypass with artificial graft combined with EVAR.
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