title: Endovascular hypogastric artery preservation during endovascular aneurysm repair: a review of current techniques and devices.
abstract: Despite the improvement in endovascular techniques, one aspect of aneurysmal disease that continues to be challenging is the management of aortoiliac aneurysms. Sacrificing the hypogastric artery (HGA) for effective treatment is not without sequelae, which may include buttocks claudication, colonic ischemia, spinal cord ischemia, as well as buttock and scrotal necrosis. This should be taken into consideration particularly in patients with previous intervention or potential additional future interventions. This review describes the current endovascular techniques for preservation of HGA perfusion.
authors.affiliation: Department of Surgery, Danbury Hospital, Danbury, CT.
authors.forename: Khaldoun
authors.initials: K
authors.lastname: Bekdache
authors.affiliation: Department of Surgery, Danbury Hospital, Danbury, CT.
authors.forename: Alan M
authors.initials: AM
authors.lastname: Dietzek
authors.affiliation: Department of Surgery, Danbury Hospital, Danbury, CT.
authors.forename: Andrew
authors.initials: A
authors.lastname: Cha
authors.affiliation: Department of Surgery, Danbury Hospital, Danbury, CT. Electronic address: alan.dietzek@wchn.org.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Neychev
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D057867:Endoleak / Q000209:etiology / Q000517:prevention & control; D057510:Endovascular Procedures; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D007083:Iliac Artery / Q000601:surgery*; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control