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Percutaneous intervention for chronic total occlusion of the internal iliac artery for unrelenting buttock claudication
Author(s) -
Adlakha Satjit,
Burket Mark,
Cooper Christopher
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21966
Subject(s) - medicine , collateralization , internal iliac artery , percutaneous , claudication , occlusion , surgery , stenosis , intermittent claudication , percutaneous coronary intervention , radiology , cardiology , vascular disease , myocardial infarction , arterial disease , collateral , finance , economics
Internal iliac artery stenosis or occlusion has been documented to cause hip pain, erectile dysfunction, and buttock claudication. Endovascular repair for patients with significant stenosis has been well documented, but chronic total occlusion revascularizations have not been reported in the literature. The reluctance to attempt percutaneous intervention may be in part due to the extensive collateralization that forms to this vessel, or fear of complications such as wire perforation in a vessel that has a tortuous route with multiple bifurcations. This report describes two cases of patients with unrelenting buttock claudication that completely resolved after percutaneous intervention of unilateral chronic total occlusions of the internal iliac artery. © 2008 Wiley‐Liss, Inc.