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Endovascular treatment of patients with bilateral internal iliac artery disease and buttock claudication

Mehmet Özkan1, Burak Teymen2

  • 1Department of Cardiovascular Surgery, Emsey Hospital, İstanbul, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 22, 2020
PubMed

Insights

Endovascular repair using percutaneous transluminal angioplasty offers a safe and effective treatment for buttock claudication caused by internal iliac artery issues. The procedure demonstrated high technical success and significant symptom relief in most patients.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Buttock claudication can significantly impair quality of life.
  • Bilateral internal iliac artery stenosis or occlusion is a recognized cause of this condition.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of endovascular treatment for buttock claudication.
  • To assess the outcomes of percutaneous transluminal angioplasty in patients with internal iliac artery disease.

Main Methods:

  • Retrospective analysis of 12 patients with buttock claudication undergoing endovascular repair.
  • Procedures included percutaneous transluminal angioplasty for bilateral internal iliac artery stenosis/occlusion.
  • Follow-up assessments included Doppler ultrasonography and CT angiography at 6 and 12 months.

Main Results:

  • 100% technical success rate with no reported complications.
  • Primary patency rate of 87.5% at 12 months.
  • 50% of patients experienced complete symptom relief, with an additional 33.3% reporting partial relief.

Conclusions:

  • Percutaneous angioplasty is a technically feasible and safe endovascular approach for internal iliac artery stenosis/occlusion causing buttock claudication.
  • The majority of patients achieve significant symptom improvement.
  • High primary patency rates support the long-term effectiveness of this intervention.
Abstract

Keywords:
Balloon angioplastybuttock claudicationinternal iliac artery

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