Successful percutaneous treatment of gluteal claudication secondary to isolated bilateral hypogastric stenoses.
We report an unusual case of bilateral buttock claudication at ambulation of less than two blocks in a 57-year-old man with normal lower-extremity segmental pressure on noninvasive exercise testing. He was found to have bilateral high-grade internal iliac artery stenoses on arteriography. Both sides were successfully treated in a staged fashion via a contralateral approach with percutaneous transluminal angioplasty and a balloon-expandable stent, with complete symptom resolution. A clinical vascular examination with normal findings of the common iliac, external iliac, and common and superficial femoral arteries eliminates significant vascular obstruction as a cause of claudication. However, internal iliac occlusive disease may be suspected when symptoms are limited to the gluteal musculature and other causes are eliminated. Percutaneous interventions can be of diagnostic and therapeutic value.
Chaer
Rabih A
RA
Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, New York, NY, USA.
Faries
Peter L
PL
Lin
Stephanie
S
Dayal
Rajeev
R
McKinsey
James F
JF
Kent
K Craig
KC
D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000601:surgery*; D002081:Buttocks / Q000098:blood supply*; D006801:Humans; D007083:Iliac Artery; D007383:Intermittent Claudication / Q000209:etiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D015607:Stents