Buttock Claudication and Erectile Dysfunction After Internal Iliac Artery Embolization in Patients Prior to Endovascular Aortic Aneurysm Repair
Coil embolization of the internal iliac artery (IIA) is used to extend the application of endovascular aneurysm repair (EVAR) in cases of challenging iliac anatomy. Pelvic ischemia is a complication of the technique, but reports vary as to the rate and severity. This study reports our experience wit...
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| creator | Rayt, H. S. Bown, M. J. Lambert, K. V. Fishwick, N. G. McCarthy, M. J. London, N. J. M. Sayers, R. D. |
| description | Coil embolization of the internal iliac artery (IIA) is used to extend the application of endovascular aneurysm repair (EVAR) in cases of challenging iliac anatomy. Pelvic ischemia is a complication of the technique, but reports vary as to the rate and severity. This study reports our experience with IIA embolization and compares the results to those of other published series. The vascular unit database of the Leicester Royal Infirmary was used to identify patients who had undergone IIA coil embolization prior to EVAR. Data were collected from hospital case notes and by telephone interviews. Thirty-eight patients were identified; 29 of these were contactable by telephone. A literature search was performed for other studies of IIA embolization and the results were pooled. In this series buttock claudication occurred in 55% (16 of 29 patients) overall: in 52% of unilateral embolizations (11 of 21) and 63% of bilateral embolizations (5 of 8). New erectile dysfunction occurred in 46% (6 of 13 patients) overall: in 38% of unilateral embolizations (3 of 8) and 60% of bilateral embolizations (3 of 5). The literature review identified 18 relevant studies. The results were pooled with our results, to give 634 patients in total. Buttock claudication occurred in 28% overall (178 of 634 patients): in 31% of unilateral embolizations (99 of 322) and 35% of bilateral embolizations (34 of 98) (
p
= 0.46, Fisher’s exact test). New erectile dysfunction occurred in 17% overall (27 of 159 patients): in 17% of unilateral embolizations (16 of 97) and 24% of bilateral embolizations (9 of 38) (
p
= 0.33). We conclude that buttock claudication and erectile dysfunction are frequent complications of IIA embolization and patients should be counseled accordingly. |
| doi_str_mv | 10.1007/s00270-008-9319-3 |
| format | Article |
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p
= 0.46, Fisher’s exact test). New erectile dysfunction occurred in 17% overall (27 of 159 patients): in 17% of unilateral embolizations (16 of 97) and 24% of bilateral embolizations (9 of 38) (
p
= 0.33). We conclude that buttock claudication and erectile dysfunction are frequent complications of IIA embolization and patients should be counseled accordingly.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-008-9319-3</identifier><identifier>PMID: 18338212</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Age Distribution ; Aged ; Aged, 80 and over ; ANEMIAS ; Angioplasty - adverse effects ; Angioplasty - methods ; Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; ARTERIES ; BIOLOGICAL RECOVERY ; BIOLOGICAL REPAIR ; Blood Vessel Prosthesis Implantation ; BLOOD VESSELS ; BODY ; Buttocks - blood supply ; Cardiology ; CARDIOVASCULAR DISEASES ; CARDIOVASCULAR SYSTEM ; Clinical Investigation ; Cohort Studies ; DISEASES ; Embolization, Therapeutic - adverse effects ; Embolization, Therapeutic - methods ; Erectile Dysfunction - epidemiology ; Erectile Dysfunction - etiology ; Follow-Up Studies ; HEMIC DISEASES ; Humans ; Iliac Aneurysm - diagnostic imaging ; Iliac Aneurysm - therapy ; Imaging ; Incidence ; ISCHEMIA ; Ischemia - epidemiology ; Ischemia - etiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; ORGANS ; Preoperative Care - methods ; Radiography ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; REPAIR ; Retrospective Studies ; Risk Assessment ; Survival Analysis ; SYMPTOMS ; Treatment Outcome ; Ultrasound ; VASCULAR DISEASES</subject><ispartof>Cardiovascular and interventional radiology, 2008-07, Vol.31 (4), p.728-734</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-8a6a3ebc696a26d762c310206e02439481e4a8a0029b71826b428c32bb7db0b43</citedby><cites>FETCH-LOGICAL-c463t-8a6a3ebc696a26d762c310206e02439481e4a8a0029b71826b428c32bb7db0b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-008-9319-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-008-9319-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18338212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21450360$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Rayt, H. S.</creatorcontrib><creatorcontrib>Bown, M. J.</creatorcontrib><creatorcontrib>Lambert, K. V.</creatorcontrib><creatorcontrib>Fishwick, N. G.</creatorcontrib><creatorcontrib>McCarthy, M. J.</creatorcontrib><creatorcontrib>London, N. J. M.</creatorcontrib><creatorcontrib>Sayers, R. D.</creatorcontrib><title>Buttock Claudication and Erectile Dysfunction After Internal Iliac Artery Embolization in Patients Prior to Endovascular Aortic Aneurysm Repair</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Coil embolization of the internal iliac artery (IIA) is used to extend the application of endovascular aneurysm repair (EVAR) in cases of challenging iliac anatomy. Pelvic ischemia is a complication of the technique, but reports vary as to the rate and severity. This study reports our experience with IIA embolization and compares the results to those of other published series. The vascular unit database of the Leicester Royal Infirmary was used to identify patients who had undergone IIA coil embolization prior to EVAR. Data were collected from hospital case notes and by telephone interviews. Thirty-eight patients were identified; 29 of these were contactable by telephone. A literature search was performed for other studies of IIA embolization and the results were pooled. In this series buttock claudication occurred in 55% (16 of 29 patients) overall: in 52% of unilateral embolizations (11 of 21) and 63% of bilateral embolizations (5 of 8). New erectile dysfunction occurred in 46% (6 of 13 patients) overall: in 38% of unilateral embolizations (3 of 8) and 60% of bilateral embolizations (3 of 5). The literature review identified 18 relevant studies. The results were pooled with our results, to give 634 patients in total. Buttock claudication occurred in 28% overall (178 of 634 patients): in 31% of unilateral embolizations (99 of 322) and 35% of bilateral embolizations (34 of 98) (
p
= 0.46, Fisher’s exact test). New erectile dysfunction occurred in 17% overall (27 of 159 patients): in 17% of unilateral embolizations (16 of 97) and 24% of bilateral embolizations (9 of 38) (
p
= 0.33). We conclude that buttock claudication and erectile dysfunction are frequent complications of IIA embolization and patients should be counseled accordingly.</description><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ANEMIAS</subject><subject>Angioplasty - adverse effects</subject><subject>Angioplasty - methods</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>ARTERIES</subject><subject>BIOLOGICAL RECOVERY</subject><subject>BIOLOGICAL REPAIR</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>BLOOD VESSELS</subject><subject>BODY</subject><subject>Buttocks - blood supply</subject><subject>Cardiology</subject><subject>CARDIOVASCULAR DISEASES</subject><subject>CARDIOVASCULAR SYSTEM</subject><subject>Clinical Investigation</subject><subject>Cohort Studies</subject><subject>DISEASES</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Embolization, Therapeutic - methods</subject><subject>Erectile Dysfunction - epidemiology</subject><subject>Erectile Dysfunction - etiology</subject><subject>Follow-Up Studies</subject><subject>HEMIC DISEASES</subject><subject>Humans</subject><subject>Iliac Aneurysm - diagnostic imaging</subject><subject>Iliac Aneurysm - therapy</subject><subject>Imaging</subject><subject>Incidence</subject><subject>ISCHEMIA</subject><subject>Ischemia - epidemiology</subject><subject>Ischemia - etiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>ORGANS</subject><subject>Preoperative Care - methods</subject><subject>Radiography</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>REPAIR</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Survival Analysis</subject><subject>SYMPTOMS</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>VASCULAR DISEASES</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kd2KFDEQhYMo7rj6AN5IUPCutfLT6fTlOI46sOAiCt6FdDqjWbuT2fwI40v4ymbsgQXBm1RCfeeEqoPQUwKvCED3OgHQDhoA2fSM9A27h1aEM9qAFF_voxWQjjekbckFepTSDQBpJW0fogsiGZOU0BX6_abkHMwPvJl0GZ3R2QWPtR_xNlqT3WTx22PaF2_-Ntb7bCPe-Xp6PeHd5LTB61ifR7ydhzC5X4uD8_i63qzPCV9HFyLOAW_9GH7qZMqkI16HmF0Ve1viMc34kz1oFx-jB3s9JfvkXC_Rl3fbz5sPzdXH97vN-qoxXLDcSC00s4MRvdBUjJ2ghhGgICxQznouieVa6rqffuiIpGLgVBpGh6EbBxg4u0QvFt-QslPJuGzNdxO8r0MrSngLTEClXi7UIYbbYlNWs0vGTpP2NpSkRM-BUCYr-Pwf8CaU04qSorRjgkoQFSILZGJIKdq9OkQ363hUBNQpULUEqmqg6hSoYlXz7GxchtmOd4pzghWgC5Bqy3-z8e7n_7v-AXg4q38</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Rayt, H. S.</creator><creator>Bown, M. J.</creator><creator>Lambert, K. V.</creator><creator>Fishwick, N. G.</creator><creator>McCarthy, M. J.</creator><creator>London, N. J. M.</creator><creator>Sayers, R. 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S. ; Bown, M. J. ; Lambert, K. V. ; Fishwick, N. G. ; McCarthy, M. J. ; London, N. J. M. ; Sayers, R. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-8a6a3ebc696a26d762c310206e02439481e4a8a0029b71826b428c32bb7db0b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ANEMIAS</topic><topic>Angioplasty - adverse effects</topic><topic>Angioplasty - methods</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>ARTERIES</topic><topic>BIOLOGICAL RECOVERY</topic><topic>BIOLOGICAL REPAIR</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>BLOOD VESSELS</topic><topic>BODY</topic><topic>Buttocks - blood supply</topic><topic>Cardiology</topic><topic>CARDIOVASCULAR DISEASES</topic><topic>CARDIOVASCULAR SYSTEM</topic><topic>Clinical Investigation</topic><topic>Cohort Studies</topic><topic>DISEASES</topic><topic>Embolization, Therapeutic - adverse effects</topic><topic>Embolization, Therapeutic - methods</topic><topic>Erectile Dysfunction - epidemiology</topic><topic>Erectile Dysfunction - etiology</topic><topic>Follow-Up Studies</topic><topic>HEMIC DISEASES</topic><topic>Humans</topic><topic>Iliac Aneurysm - diagnostic imaging</topic><topic>Iliac Aneurysm - therapy</topic><topic>Imaging</topic><topic>Incidence</topic><topic>ISCHEMIA</topic><topic>Ischemia - epidemiology</topic><topic>Ischemia - etiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>ORGANS</topic><topic>Preoperative Care - methods</topic><topic>Radiography</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>REPAIR</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Survival Analysis</topic><topic>SYMPTOMS</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>VASCULAR DISEASES</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rayt, H. 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S.</au><au>Bown, M. J.</au><au>Lambert, K. V.</au><au>Fishwick, N. G.</au><au>McCarthy, M. J.</au><au>London, N. J. M.</au><au>Sayers, R. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Buttock Claudication and Erectile Dysfunction After Internal Iliac Artery Embolization in Patients Prior to Endovascular Aortic Aneurysm Repair</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>31</volume><issue>4</issue><spage>728</spage><epage>734</epage><pages>728-734</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Coil embolization of the internal iliac artery (IIA) is used to extend the application of endovascular aneurysm repair (EVAR) in cases of challenging iliac anatomy. Pelvic ischemia is a complication of the technique, but reports vary as to the rate and severity. This study reports our experience with IIA embolization and compares the results to those of other published series. The vascular unit database of the Leicester Royal Infirmary was used to identify patients who had undergone IIA coil embolization prior to EVAR. Data were collected from hospital case notes and by telephone interviews. Thirty-eight patients were identified; 29 of these were contactable by telephone. A literature search was performed for other studies of IIA embolization and the results were pooled. In this series buttock claudication occurred in 55% (16 of 29 patients) overall: in 52% of unilateral embolizations (11 of 21) and 63% of bilateral embolizations (5 of 8). New erectile dysfunction occurred in 46% (6 of 13 patients) overall: in 38% of unilateral embolizations (3 of 8) and 60% of bilateral embolizations (3 of 5). The literature review identified 18 relevant studies. The results were pooled with our results, to give 634 patients in total. Buttock claudication occurred in 28% overall (178 of 634 patients): in 31% of unilateral embolizations (99 of 322) and 35% of bilateral embolizations (34 of 98) (
p
= 0.46, Fisher’s exact test). New erectile dysfunction occurred in 17% overall (27 of 159 patients): in 17% of unilateral embolizations (16 of 97) and 24% of bilateral embolizations (9 of 38) (
p
= 0.33). We conclude that buttock claudication and erectile dysfunction are frequent complications of IIA embolization and patients should be counseled accordingly.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18338212</pmid><doi>10.1007/s00270-008-9319-3</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2008-07, Vol.31 (4), p.728-734 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_21450360 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Age Distribution Aged Aged, 80 and over ANEMIAS Angioplasty - adverse effects Angioplasty - methods Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery ARTERIES BIOLOGICAL RECOVERY BIOLOGICAL REPAIR Blood Vessel Prosthesis Implantation BLOOD VESSELS BODY Buttocks - blood supply Cardiology CARDIOVASCULAR DISEASES CARDIOVASCULAR SYSTEM Clinical Investigation Cohort Studies DISEASES Embolization, Therapeutic - adverse effects Embolization, Therapeutic - methods Erectile Dysfunction - epidemiology Erectile Dysfunction - etiology Follow-Up Studies HEMIC DISEASES Humans Iliac Aneurysm - diagnostic imaging Iliac Aneurysm - therapy Imaging Incidence ISCHEMIA Ischemia - epidemiology Ischemia - etiology Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine ORGANS Preoperative Care - methods Radiography Radiology RADIOLOGY AND NUCLEAR MEDICINE REPAIR Retrospective Studies Risk Assessment Survival Analysis SYMPTOMS Treatment Outcome Ultrasound VASCULAR DISEASES |
| title | Buttock Claudication and Erectile Dysfunction After Internal Iliac Artery Embolization in Patients Prior to Endovascular Aortic Aneurysm Repair |
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