PMID: 11740833Dec 12, 2001Paper

Prevention and management of sigmoid and pelvic ischemia associated with aortic surgery

Seminars in Vascular Surgery
M B Welborn, J M Seeger

Abstract

Ischemia of the colon, rectum, and pelvis continues to be a significant source of morbidity and mortality after aortic reconstruction. Complications associated with colonic and pelvic ischemia are severe and include impotency, buttock claudication, colonic and rectal infarction, buttock and perineal necrosis, and spinal cord or lumbar plexus injury. To prevent these complications the vascular surgeon must make every attempt to guarantee the adequacy of colonic and pelvic blood supply after aortic reconstructive procedures. During open surgical repair of aneurysms or aortoiliac arterial occlusive disease, patent inferior mesenteric arteries must either be routinely reimplanted or selectively ligated on the basis of object intraoperative assessment of colonic perfusion. In addition, when possible, antegrade perfusion should be maintained in patent internal iliac arteries, and femoral reconstructions should include reconstruction of the deep femoral artery to assure adequate perfusion of potential pelvic collaterals. The rate of colonic and pelvic ischemia after endovascular aneurysm repair appears lower than after open repair, but all of the complications of colonic and pelvic ischemic seen after open repairs have been reported a...Continue Reading

Citations

Nov 29, 2002·Seminars in Roentgenology·Chieh-Min Fan, John G Santilli
Feb 13, 2003·The Urologic Clinics of North America·Aaron J Milbank, David A Goldfarb
Apr 29, 2008·Annals of Surgery·Vincent JaquinandiPierre Abraham
Oct 16, 2007·The Surgical Clinics of North America·Scott R Steele
Jul 21, 2004·Gastrointestinal Endoscopy Clinics of North America·Shai FriedlandDavid Benaron
Mar 4, 2015·Annals of Vascular Surgery·Michele MarconiMauro Ferrari
Oct 9, 2004·Journal of Vascular Surgery·Thomas S MaldonadoThomas S Riles
May 3, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E MauginJ Picquet
Jun 24, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N SuganoT Iwai
Feb 1, 2007·Journal of Vascular Surgery·Vincent JaquinandiPierre Abraham
Nov 17, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A PaumierJ Picquet
Jan 23, 2016·American Journal of Physiology. Renal Physiology·Portia ThurmondKazem M Azadzoi

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