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Endovascular treatment of internal iliac artery obstructive disease

Konstantinos P Donas1, Arne Schwindt, Georgios A Pitoulias

  • 1Department of Vascular Surgery, St. Franziskus Hospital Münster and Center of Vascular and Endovascular Surgery, Münster University Hospital, Münster, Germany. k.donas@gmx.at

Journal of Vascular Surgery
|June 6, 2009
PubMed

Insights

Endovascular treatment for internal iliac artery disease effectively resolves buttock claudication. Stent-supported angioplasty shows promising midterm results and can be a repeatable first-line therapy.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Buttock claudication is often caused by internal iliac artery stenosis or occlusion.
  • Evaluating endovascular techniques offers a therapeutic alternative for this condition.

Purpose of the Study:

  • To assess the therapeutic value of endovascular techniques for internal iliac artery obstructive disease causing buttock claudication.
  • To evaluate the safety and efficacy of percutaneous transluminal angioplasty and stent placement.

Main Methods:

  • Retrospective analysis of patients undergoing endovascular treatment for internal iliac artery stenosis/occlusion.
  • Iliac artery duplex scans and aortoiliac angiography used for diagnosis.
  • Follow-up included duplex scanning to monitor for restenosis or occlusion.

Main Results:

  • 21 patients (22 cases) with buttock claudication treated with endovascular methods.
  • Successful treatment in all patients with no morbidity or mortality.
  • One case of 50% restenosis during follow-up, managed conservatively.

Conclusions:

  • Endovascular treatment, particularly stent-supported angioplasty, is a valuable first-line therapy for internal iliac artery obstructive disease.
  • Midterm results are encouraging, with potential for repeat procedures if restenosis occurs.
  • This approach does not preclude future surgical intervention if necessary.
Abstract

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