Endovascular revascularization of isolated internal iliac artery for symptomatic occlusive atherosclerotic disease is a viable and underused option for patients with gluteal muscle claudication.
Endovascular repair
Exercise TcPo2
Gluteal muscle claudication
Hypogastric artery stenosis or occlusion
Internal iliac stenosis or occlusion
Ischemic buttock claudication
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
22
10
2022
accepted:
29
11
2022
medline:
31
3
2023
entrez:
30
3
2023
pubmed:
31
3
2023
Statut:
epublish
Résumé
Often confused with pseudoclaudication, gluteal muscle claudication is a difficult condition to diagnose and treat. We present the case of a 67-year-old man with a history of back and buttock claudication. He had undergone lumbosacral decompression with no relief of buttock claudication. Computed tomography angiography of the abdomen and pelvis showed occlusion of the bilateral internal iliac arteries. Exercise transcutaneous oxygen pressure measurements obtained on referral to our institution revealed a significant decrease. He underwent successful recanalization and stenting of the bilateral hypogastric arteries with complete resolution of his symptoms. We also reviewed the reported data to highlight the trend in the management of patients with this condition.
Identifiants
pubmed: 36992706
doi: 10.1016/j.jvscit.2022.101090
pii: S2468-4287(22)00238-6
pmc: PMC10041555
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101090Informations de copyright
© 2023 The Authors.
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