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Transcatheter Embolization of Hypogastric Artery Aneurysms: Lessons Learned

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Annals of Vascular Surgery

Abstract

Transcatheter embolization of hypogastric artery aneurysms has become an attractive therapeutic alternative for many patients with this difficult lesion. Because of the increasing use of stent grafting for treatment of abdominal aortic aneurysms, transcatheter embolization of normal-caliber hypogastric arteries has become an almost routine procedure, usually accomplished with little morbidity. Applying this treatment to aneurysmal hypogastric arteries, however, involves greater technical complexity and a significantly higher risk of ischemic complications. We present three cases to illustrate the technical challenges of hypogastric aneurysm embolization, the potentially devastating ischemic complications, and the clinical situations that may predispose to poor outcomes.

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Authors and Affiliations

  1. Section of Vascular Surgery, Department of Surgery, Hartford Hospital, Hartford, CT, USA

    Lorraine M. Wolpert MD, A. David. Drezner MD, PhD, James J. Gallagher MD & Mary H. Windels MD

  2. Section of Interventional Radiology, Department of Radiology, Hartford Hospital, Hartford, CT, USA

    Michael J. Hallisey MD

Authors
  1. Lorraine M. Wolpert MD
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  2. A. David. Drezner MD, PhD
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  3. Michael J. Hallisey MD
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  4. James J. Gallagher MD
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  5. Mary H. Windels MD
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Corresponding author

Correspondence to A. David. Drezner MD, PhD.

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Wolpert, L.M., Drezner, A.D., Hallisey, M.J. et al. Transcatheter Embolization of Hypogastric Artery Aneurysms: Lessons Learned . Ann Vasc Surg 18, 474–480 (2004). https://doi.org/10.1007/s10016-004-0032-7

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  • DOI: https://doi.org/10.1007/s10016-004-0032-7

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