METHODS FOR PRESERVATION THE PATENCY OF THE INTERNAL ILIAC ARTERIES DURING INFRARENAL AORTIC ANEURISM RESECTION
https://doi.org/10.24884/0042-4625-2018-177-2-12-18
Abstract
OBJECTIVE. The purpose of this study was to evaluate the methods for preservation the patency of the internal iliac arteries during infrarenal aortic aneurysm resection.
MATERIAL AND METHODS. The retrospective review was conducted in 200 patients who had undergone infrarenal aortic aneurysms resection between 1998 and 2017. The group 1 consisted of 8 patients who underwent the antegrade internal iliac arteries flow restoration by bypass or prosthetics. The group 2 consisted of 25 people who did not undergo restorating the patency of these arteries. The results were compared in both groups during the intraand early postoperative period.
RESULTS. During the statistical analysis, there were no significant differences in duration of operation postoperative period, blood loss between two groups. Among the patients of the group 2, a transient ischemic colitis developed in one case, a prosthesis thrombosis developed in 5 patients. The complications described above have never been noted in the group 1.
CONCLUSION. Direct revascularization of the internal iliac arteries during infrarenal aortic aneurism resection is an important factor of preventing the ischemic disorders of the pelvic organs and the left half of the colon do not significantly affect the volume of blood loss and the duration of the operation and the postoperative period.
About the Authors
N. A. Yaitsky
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. Ya. Bedrov
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. A. Moiseev
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. N. Morozov
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
Yu. A. Pugachenko
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
G. I. Martynenko
Federal State Budgetary Educational Institution of Higher Education «Pavlov First Saint Petersburg State Medical University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
References
1. Banzic I., Sladojevic M., Ilic N. et al. Complete immediate paraplegia reversal after performing aortolumbar bypass on the patient who underwent aortoiliac reconstruction // Ann. Vasc. Surg. 2016. Vol. 35. P. 203.e1–3.
2. Consequences of hypogastric artery ligation embolization or coverage / G. Chitragari, F. Schlosser, C. Ochoa Chaar, B. Sumpio // J. Vasc. Surg. 2015. Vol. 62. P. 1340–1347.
3. Jaquinandi V., Picquet J., Bouye P. et al. High prevalence of proximal claudication among patients with patent aortobifemoral bypasses // J. Vasc. Surg. 2007. Vol. 45. P. 312–318.
4. Kim H., Kang S., Kim D. et al. Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegia // J. Vasc. Surg. 2014. Vol. 59. P. 241–243.
5. Lee W., Nelson P., Berceli A. et al. Outcome after hypogastric artery bypass and embolization during endovascular aneurysm repair // J. Vasc. Surg. 2006. Vol. 44. P. 1162–1169.
6. Marconi M., Ceragioli S., Mocellin D. et al. Open surgical management of hypogastric artery during aortic surgery : ligate or not ligate? // Ann. Vasc. Surg. 2015. Vol. 29. P. 780–785.
7. Maugin E., Abraham P., Paumier A. et al. Patency of direct revascularisation of the hypogastric arteries in patients with aortoiliac occlusive disease // Eur. J. Vasc. Endovasc. Surg. 2011. Vol. 42. P. 78–82.
8. Milite D., Campanile F., Tosato F. et al. Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure // Interact. CardioVasc. Thorac. Surg. 2010. Vol. 10. P. 749–752.
9. Casey K., Chen A., Vij A. Hypogastric artery preservation during aortoiliac aneurysm repair // Ann. Vasc. Surg. 2011. Vol. 25. P. 133.e1–8.
10. Yaitsky N. A., Bedrov A. Ya., Moiseev A. A., Rybakov G. V. Prognosticheskaya shkala otsenki riska razvitiya ishemicheskogo kolita pri planovom operativnom lechenii bol’nykh s anevrizmoi infrarenal’nogo segmenta aorty// Vestnik khirurgii imeni I. I. Grekova. 2017. № 1. P. 14–19.
11. Paumier A., Abraham P., Mahe G. et al. Functional outcome of hypogastric revascularisation for prevention of buttock claudication in patients with peripheral artery occlusive disease // Eur. J. Vasc. Endovasc. Surg. 2010. Vol. 39. P. 323–329.
12. Unno N., Inuzuka K., Yamamoto N. et al. Preservation of pelvic circulation with hypogastric artery bypass in endovascular repair of abdominal aortic aneurysm with bilateral iliac artery aneurysms // J. Vasc. Surg. 2006. Vol. 44. P. 1170–1175.
13. Impact of coexisting aneurysms on open revascularization for aortoiliac occlusive disease / V. Daniel, N. Gupta, J. Raffetto, J. McPhee // J. Vasc. Surg. 216. Vol. 63. P. 944–948.
14. Huang Y., Gloviczki P., Duncan A. et al. Common iliac artery aneurysm : expansion rate and results of open surgical and endovascular repair // J. Vasc. Surg. 2008. Vol. 47. P. 1203–1211.
15. Hassen-Khodja R., Le Bas P., Pittaluga P. et al. Abdominal aortic aneurysm and lower-limb occlusive arterial disease // J. Cardiovasc. Surg. (Torino). 1998. Vol. 39. P. 141–145.
Review
For citations:
Yaitsky N.A., Bedrov A.Ya., Moiseev A.A., Morozov A.N., Pugachenko Yu.A., Martynenko G.I. METHODS FOR PRESERVATION THE PATENCY OF THE INTERNAL ILIAC ARTERIES DURING INFRARENAL AORTIC ANEURISM RESECTION. Grekov's Bulletin of Surgery. 2018;177(2):12-18. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-2-12-18
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