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Percutaneous intervention for chronic total occlusion of the internal iliac artery for unrelenting buttock

Satjit Adlakha1, Mark Burket, Christopher Cooper

  • 1Cardiovascular Medicine Division, Department of Medicine, University of Toledo, Toledo, OH 43614, USA. adlakha@bex.net

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 13, 2009
PubMed

Insights

Percutaneous intervention successfully treated chronic total occlusions of the internal iliac artery, resolving severe buttock claudication. This endovascular approach offers a new option for patients with this challenging condition.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Endovascular Therapy

Background:

  • Internal iliac artery (IIA) stenosis/occlusion can cause debilitating symptoms like hip pain, erectile dysfunction, and buttock claudication.
  • Endovascular repair is established for IIA stenosis, but chronic total occlusions (CTOs) remain largely unaddressed.
  • Challenges in treating IIA CTOs include extensive collateralization and complex anatomy, leading to reluctance in attempting intervention.

Observation:

  • This report details two cases of patients experiencing severe, unrelenting buttock claudication.
  • Both patients had unilateral chronic total occlusions of the internal iliac artery.
  • These cases were treated with percutaneous endovascular intervention.

Findings:

  • Successful revascularization of the internal iliac artery chronic total occlusions was achieved in both patients.
  • Following the intervention, patients experienced complete resolution of their buttock claudication symptoms.
  • The procedures were technically successful, demonstrating feasibility despite anatomical challenges.

Implications:

  • Percutaneous treatment of internal iliac artery CTOs is a viable therapeutic option.
  • This approach can significantly improve quality of life for patients suffering from IIA-related claudication.
  • Further research and case series are warranted to establish best practices for IIA CTO revascularization.

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