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Endovascular treatment of the internal iliac artery in peripheral arterial disease

K Huétink1, J J F Steijling, W P T M Mali

  • 1Department of Radiology, Leiden University Medical Center, Albinusdreef 2, 2300, RC, Leiden, The Netherlands. k.huetink@lumc.nl

Cardiovascular and Interventional Radiology
|July 5, 2007
PubMed

Insights

Peripheral arterial disease pain location is often unclear. This study shows internal iliac artery occlusions can cause buttock and calf pain, with angioplasty improving symptoms.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Pain Management

Background:

  • Peripheral arterial disease (PAD) diagnosis can be challenging, especially regarding pain localization related to iliac artery occlusions.
  • Symptoms of arteriosclerotic lesions in the internal iliac artery are often atypical and difficult to diagnose.

Observation:

  • This report details 3 patients with internal iliac artery occlusions treated with percutaneous transluminal angioplasty (PTA).
  • Pain presentations varied, including isolated buttock pain and buttock pain radiating to calves during exertion.

Findings:

  • Following PTA, two patients experienced complete symptom resolution.
  • One patient showed symptom improvement but not complete disappearance after PTA.

Implications:

  • These findings suggest a correlation between internal iliac artery occlusion localization and specific pain patterns in PAD patients.
  • Further research is needed to elucidate the precise relationship between arterial occlusion sites and pain localization for improved diagnosis and treatment.

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