Colonic ischemia after endovascular exclusion of an aortoiliac aneurysm using an iliac branch device

Vasc Endovascular Surg. 2010 Oct;44(7):597-600. doi: 10.1177/1538574410369388. Epub 2010 May 18.

Abstract

Purpose: To present the first case of colonic ischemia (CI) after endovascular exclusion of an aortoiliac aneurysm using an iliac branch device (IBD).

Case report: A 69-year-old male patient with an abdominal aortic and right common iliac artery aneurysm underwent endovascular repair with an IBD. Completion angiography demonstrated good patency in 2 of the 3 main branches of the right internal iliac artery (IIA) whereas the left IIA patency was preserved. Preoperatively, the inferior mesenteric artery (IMA) was patent. Postoperatively, the patient presented moderate CI. He was treated conservatively and discharged 15 days later with recession of the symptoms.

Conclusion: Although preservation of bilateral iliac artery patency is considered to diminish the incidence of pelvic ischemia, in case of an exclusion of a patent IMA, collaterals may not be adequate to ensure blood supply to the left colon.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Colitis, Ischemic / diagnostic imaging
  • Colitis, Ischemic / etiology*
  • Colitis, Ischemic / physiopathology
  • Collateral Circulation
  • Colon / blood supply*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Humans
  • Iliac Aneurysm / complications
  • Iliac Aneurysm / diagnostic imaging
  • Iliac Aneurysm / surgery*
  • Ischemia / diagnostic imaging
  • Ischemia / etiology*
  • Ischemia / physiopathology
  • Male
  • Prosthesis Design
  • Splanchnic Circulation
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Patency