AORTA, Article in Press
Persistent Buttock Claudication After EVAR: A Surgical Solution
Vascular and Endovascular Surgery Unit, Imperia Hospital, Imperia, Italy
We describe the successful therapeutic application of a surgical technique to treat a 71-year-old man affected by right buttock claudication (BC) after a right internal iliac artery (IIA) coil embolization as an adjunct to endovascular iliac artery aneurysm repair. The CT-angiogram revealed extensive aortoiliac calcifications and thrombus in the vessel walls. Despite patency of the controlateral IIA and the preservation of the right distal collateral flow through the ipsilateral hypogastric branches, the symptom was persistent and disabling. The high-risk patient underwent an “open” repair of the infrarenal abdominal aneurysm with removal of the entire stent-graft and concomitant revascularization of the right IIA. Post-operative recovery was uneventful and the patient remained asymptomatic during a 30-month follow-up. This case underscores the importance to consider all potential solutions, including open surgery, to preserve pelvic inflow after aortoiliac stent grafting, in particularly, in high risk patients with vulnerable plaque and higher risk of thrombus embolization.
Cite this article as: Robaldo A, Pagliari S, Piaggio F, Colotto P. Persistent Buttock Claudication After EVAR: A Surgical Solution. Aorta (Stamford). DOI: 10.12945/j.aorta.17.036 [In Press]
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