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Related Experiment Videos

Postoperative management: buttock claudication and limb thrombosis.

A Powell1, L A Fox, J F Benenati

  • 1Miami Cardiac and Vascular Institute, Miami, FL 33176, USA.

Techniques in Vascular and Interventional Radiology
|March 15, 2002
PubMed
Summary

Postoperative buttock claudication and limb thrombosis are common complications of endovascular abdominal aortic aneurysm repair. This review discusses strategies to minimize and treat these challenging stent-graft complications.

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions

Background:

  • Endovascular repair of abdominal aortic aneurysms (AAA) can lead to postoperative complications such as buttock claudication and limb thrombosis.
  • Hypogastric artery embolization, often performed during AAA repair, is associated with buttock claudication in 28% of patients, though 78% experience spontaneous resolution.
  • Limb thrombosis is another recognized complication with complex and debated treatment strategies.

Purpose of the Study:

  • To review existing data on buttock claudication and limb thrombosis following endovascular AAA repair.
  • To discuss current and novel treatment strategies for minimizing and managing these complications.

Main Methods:

  • Literature review of studies on endovascular AAA repair complications.
  • Analysis of treatment outcomes and preventative measures.

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Main Results:

  • Buttock claudication affects a significant portion of patients undergoing hypogastric artery embolization, but most symptoms resolve naturally.
  • One center achieved a 0% limb thrombosis rate using intravascular ultrasound and aggressive adjunctive stenting, reducing their previous rate from 17%.

Conclusions:

  • Effective recognition and treatment of buttock claudication and limb thrombosis are crucial for physicians performing endovascular AAA repair.
  • Developing and implementing strategies to minimize these complications and effectively treat affected patients is of paramount importance.