Published in:
01-07-2008 | Letter to the Editor
Reply to “A Word of Caution Before Killing Hypogastric Arteries”
Authors:
Mark J. Bratby, R. A. Morgan
Published in:
CardioVascular and Interventional Radiology
|
Issue 4/2008
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Excerpt
In response to the letter by Dalainas [
1], we broadly agree with the importance of preservation of the collateral circulation in patients undergoing bilateral internal iliac embolization prior to endovascular aneurysm repair (EVAR). Yano et al. [
2] identified two main factors in patients developing buttock claudication: stenosis of the contralateral internal iliac artery (IIA) with nonopacification of at least three of the six branches of the IIA and stenosis or occlusion of the circumflex femoral arteries. We [
3] found that proximal embolization confined to the main trunk of both IIAs resulted in a significant reduction in buttock claudication. …