Related Experiment Video

Updated: Jan 24, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
08:51

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

14.8K

The influence of internal iliac artery occlusion after endovascular abdominal aneurysm repair on buttock claudication

Josianne C Luijten1, Paul P Poyck2, Kathleen D'hauwers3

  • 1Department of Vascular and Transplant Surgery, Radboudumc, the Netherlands - josianne.luijten@gmail.com.

The Journal of Cardiovascular Surgery
|May 30, 2019
PubMed

Insights

Intentional internal iliac artery (IIA) occlusion during endovascular aneurysm repair (EVAR) increases buttock claudication but does not significantly impact erectile dysfunction or quality of life.

Area of Science:

  • Vascular Surgery
  • Endovascular Repair
  • Patient Outcomes

Background:

  • Buttock claudication (BC) and erectile dysfunction (ED) are known complications of internal iliac artery (IIA) occlusion during endovascular aneurysm repair (EVAR).
  • Long-term prevalence and quality of life (QOL) impact of IIA occlusion are often underreported.

Purpose of the Study:

  • To assess the long-term incidence of BC and ED after intentional IIA occlusion in EVAR.
  • To evaluate the impact of IIA occlusion on patient quality of life.

Main Methods:

  • Retrospective analysis of 152 patients (76 cases with IIA occlusion, 76 matched controls) who underwent EVAR.
  • Data collection included patient notes review, telephonic interviews for BC, and questionnaires for QOL (VascuQol-25), ED (IIEF), and walking impairment (WIQ).

Main Results:

  • Intentional IIA occlusion significantly increased short-term (71% vs 35%) and long-term (57% vs 26%) BC incidence.
  • Erectile dysfunction prevalence was high in both groups (96% vs 86%), with no significant difference.
  • No significant differences were found in VascuQoL or WIQ scores between cases and controls.

Conclusions:

  • Intentional IIA occlusion in EVAR increases the incidence of buttock claudication.
  • IIA occlusion does not significantly affect erectile dysfunction prevalence, quality of life, or walking impairment.
  • The clinical impact of IIA occlusion on QOL and walking is limited.
Abstract

More Related Videos

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices07:21

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

1.0K
Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

1.9K

Related Concept Videos

Sign Test for Matched Pairs01:17

Sign Test for Matched Pairs

The sign test for matched pairs offers a robust method for comparing two paired samples, often for the effects of an intervention in one of them. This method is very useful in situations where the underlying distribution of the data is unknown. The test compares two related samples—often pre- and post-treatment measurements on the same subjects—to determine if there are significant differences in their median values.
To conduct the sign test, we first calculate the differences in...
392
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
326
Mismatch Repair01:36

Mismatch Repair

Overview
43.6K
Internal Energy02:00

Internal Energy

The total of all possible kinds of energy present in a substance is called the internal energy (U), sometimes symbolized as E. Suppose a system with initial internal energy, Uinitial, undergoes a change in energy (transfer of work or heat), and the final internal energy of the system is Ufinal. Change in internal energy equals the difference between Ufinal and Uinitial.
36.6K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
417
Internal Receptors01:31

Internal Receptors

Many cellular signals are hydrophilic and therefore cannot pass through the plasma membrane. However, small or hydrophobic signaling molecules can cross the hydrophobic core of the plasma membrane and bind to internal, or intracellular, receptors that reside within the cell. Many mammalian steroid hormones use this mechanism of cell signaling, as does nitric oxide (NO) gas.
74.3K