Özkan Mehmet, Teymen Burak
Department of Cardiovascular Surgery, Emsey Hospital, İstanbul, Turkey.
Department of Cardiology, Emsey Hospital, İstanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Sep 16;26(4):565-570. doi: 10.5606/tgkdc.dergisi.2018.16143. eCollection 2018 Oct.
This study aims to investigate the therapeutic value of endovascular treatment in patients with buttock claudication caused by stenosis or occlusion of the bilateral internal iliac arteries.
This single-center, retrospective study included a total of 12 patients (9 males, 3 females; mean age 63.7±6.4 years; range 54 to 74 years) with persistent buttock claudication who underwent endovascular repair of bilateral internal iliac artery stenosis or occlusion and were treated with percutaneous transluminal angioplasty in another session at our center between July 2012 and February 2016. The iliac Doppler ultrasonography and/or computed tomography angiography were performed at six and 12 months to evaluate restenosis or occlusion. Symptom relief was considered a successful outcome.
The median follow-up was 16.5±3.7 (range, 12 to 24) months. Four patients underwent a bilateral intervention and eight patients underwent unilateral intervention. There was a 100% technical success rate with no complications. The primary patency rate at 12 months was 87.5%. Six patients (50%) had complete and four patients (33.3%) had partial relief of the buttock claudication symptoms.
Percutaneous angioplasty of the internal iliac arteries is a technically feasible and safe method in patients with buttock claudication and bilateral internal iliac artery occlusion or stenosis. Complete or partial relief of symptoms can be achieved in the majority of patients with a high primary patency rate.
本研究旨在探讨血管内治疗对双侧髂内动脉狭窄或闭塞所致臀部间歇性跛行患者的治疗价值。
本单中心回顾性研究共纳入12例（9例男性，3例女性；平均年龄63.7±6.4岁；年龄范围54至74岁）持续性臀部间歇性跛行患者，这些患者于2012年7月至2016年2月期间在本中心接受了双侧髂内动脉狭窄或闭塞的血管内修复，并在另一次手术中接受了经皮腔内血管成形术治疗。在6个月和12个月时进行髂动脉多普勒超声检查和/或计算机断层扫描血管造影，以评估再狭窄或闭塞情况。症状缓解被视为治疗成功。
中位随访时间为16.5±3.7（范围12至24）个月。4例患者接受了双侧干预，8例患者接受了单侧干预。技术成功率为100%，无并发症发生。12个月时的主要通畅率为87.5%。6例患者（50%）臀部间歇性跛行症状完全缓解，4例患者（33.3%）部分缓解。
对于臀部间歇性跛行且双侧髂内动脉闭塞或狭窄的患者，经皮髂内动脉血管成形术是一种技术上可行且安全的方法。大多数患者可实现症状完全或部分缓解，主要通畅率高。
