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Surgical access of the gluteal artery to embolize a previously excluded, expanding internal iliac artery aneurysm  Katsuaki Magishi, MD, PhD, Yuichi Izumi,

Published byMaarten Peeters Modified over 6 years ago

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Presentation on theme: "Surgical access of the gluteal artery to embolize a previously excluded, expanding internal iliac artery aneurysm  Katsuaki Magishi, MD, PhD, Yuichi Izumi,"— Presentation transcript:

1 Surgical access of the gluteal artery to embolize a previously excluded, expanding internal iliac artery aneurysm  Katsuaki Magishi, MD, PhD, Yuichi Izumi, MD, PhD, Kazuyuki Tanaka, MD, Noriyuki Shimizu, MD, PhD, Daiki Uchida, MD  Journal of Vascular Surgery  Volume 45, Issue 2, Pages (February 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative contrast-enhanced computed tomographic scan of the internal iliac artery aneurysm. Persistent blood flow is seen in the previously excluded internal iliac aneurysm. The proximal side of the aneurysm is not enhanced. An axial view (a) and Maximum Intensity Projection MIP-constructed view (b) are shown. Arrowheads point to the excluded internal aneurysm and to the inferior gluteal artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 (a) Schematic skin incision and operative view. After the gluteus maximus muscle is split, the inferior gluteal artery is identified below the piriformis muscle. (b) Angiography of the internal iliac aneurysm before coil embolization. The aneurysm, obturator (O), and supragluteal (S) and infragluteal (I) arteries were identified. Contrast material was injected from the sheath inserted in the inferior gluteal artery. (c)A completion angiogram after coil embolization shows an absence of flow inside the internal iliac aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Enhanced computed tomographic scan (delay phase) obtained 1 year after the procedure. The aneurysm is not enhanced by contrast medium. The high-density area in the aneurysm corresponds to the coils. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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