PURPOSE: Iliac artery anatomy is a central factor in endoluminal @entity1028 therapy. It serves as the conduit for graft deployment and as the region of distal graft seal. Thirty-eight percent of iliac vessels in our @entity1 require special treatment because of @entity439 , tortuosity, or small size. Bilateral hypogastric artery exclusion has been avoided because of concerns of @entity14 , @entity572 , and @entity323 . We suggest that elective, staged, bilateral hypogastric embolization can be performed safely with reasonably low morbidity and can expand the anatomic boundaries for stent-graft @entity1028 repair. METHODS: This study was performed as a retrospective chart review of @entity1 requiring @entity1416 for endovascular repair of @entity1028 between June 1998 and June 2000. @entity1 with otherwise appropriate anatomy and common iliac artery @entity439 were informed of the option for stent-graft repair with internal iliac artery embolization with its risks of @entity323 , @entity572 , and @entity63 . @entity1 underwent unilateral or staged bilateral coil embolizations of their proximal hypogastric arteries with an approximate 1-week interval between procedures. Hospital and office records were reviewed; phone interviews were performed. Follow-up ranged from 1 to 12 months. RESULTS: During a 24-month period, 65 @entity1 underwent @entity1028 repair; 18 @entity1 (28%) required @entity1416 . Seven (39%) of these @entity1 underwent bilateral embolization. There were no episodes of clinically evident @entity63 . Lactate levels were normal in all measured @entity1 . Postoperative fevers (> 101.0 degrees F) were documented in 10 (56%) of 18 @entity1 . The average white blood cell count was 12.8 x 10(9)/L (range, 8.5-22.9). There were no positive blood culture results. The return to the full preoperative diet occurred in 1 to 3 days. Hip/buttock claudication occurred in approximately 50% of @entity1 with persistent but improved symptoms at 6 months. Eighty-seven percent of @entity1 had preoperative @entity323 . Only two @entity1 noted worsening of erectile function postoperatively. CONCLUSIONS: Preliminary results indicate that bilateral @entity1416 can be performed, when necessary, with reasonable morbidity in @entity1 undergoing stent-graft @entity1028 repair.

XXXX in @entity1028 repair.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity323 :: ('MESH:D007172', 'Disease') :: ['impotence', 'erectile dysfunction'] @entity63 :: ('MESH:D007511', 'Disease') :: ['bowel ischemia'] @entity1416 :: ('MESH:D020762', 'Disease') :: ['hypogastric artery embolization'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms'] @entity572 :: ('MESH:D006617', 'Disease') :: ['hip/buttock claudication'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal ischemia'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysms', 'endovascular abdominal aortic aneurysm', 'abdominal aortic aneurysm']
@entity1416 :: (MESH:D020762,Disease) :: ['Hypogastric artery embolization']
