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Hypogastric artery stenosis in a patient with severe chronic ischemia

Sergio A Garrido1, Ronaldo L Mackenzie, Martin F Parodi

  • 1Endovascular Surgery Division, Clínica del Sol, Buenos Aires, Argentina. garridosa@fibertel.com.ar

Annals of Vascular Surgery
|May 18, 2010
PubMed

Insights

Atherosclerotic lesions in the hypogastric artery can cause leg pain and impotence. This case study shows successful treatment using hypogastric angioplasty and stenting for severe artery stenosis.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Atherosclerotic lesions in the hypogastric artery are a known cause of buttock and thigh claudication, and impotence.
  • Treatment typically involves endovascular procedures or open surgery.

Observation:

  • A patient presented with total occlusion of the left external iliac artery and severe stenosis of the left hypogastric artery.
  • Symptoms included rest pain and an ischemic lesion on the left foot.

Findings:

  • The patient underwent successful hypogastric angioplasty and received a covered self-expanding stent.
  • Post-procedure, distal pulses were restored, rest pain resolved, and the ischemic foot lesion healed.

Implications:

  • This case highlights the efficacy of hypogastric angioplasty and stenting for complex hypogastric artery disease.
  • Successful endovascular treatment can alleviate symptoms and improve limb salvage in patients with critical limb ischemia.

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