title: A technique for combined hypogastric artery bypass and endovascular repair of complex aortoiliac aneurysms.
abstract: Endovascular repair of complex aortoiliac aneurysms may necessitate distal fixation of the endograft to the external iliac artery and percutaneous embolization of the hypogastric artery for prevention of a retrograde endoleak. However, acute interruption of hypogastric perfusion can result in symptoms of pelvic ischemia. We describe a technique in which a prosthetic graft is used as an external iliac artery conduit to facilitate the passage of the endograft delivery catheter/sheath and after completion of the endovascular portion of the procedure, a surgical bypass is completed with anastomosis of the graft to the hypogastric artery.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Florida College of Medicine, PO Box 100286, Gainesville, FL 32610-0286, USA. leewa@mail.surgery.ufl.edu
authors.forename: W Anthony
authors.initials: WA
authors.lastname: Lee
authors.forename: Scott A
authors.initials: SA
authors.lastname: Berceli
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Huber
authors.forename: James M
authors.initials: JM
authors.lastname: Seeger
mesh_terms: D000714:Anastomosis, Surgical; D000925:Anticoagulants / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D017543:Iliac Aneurysm / Q000628:therapy*; D013270:Stomach / Q000098:blood supply*
chemical_list: D000925:Anticoagulants