Document Detail

Successful percutaneous treatment of gluteal claudication secondary to isolated bilateral hypogastric stenoses.
MedLine Citation:
PMID:  16414405     Owner:  NLM     Status:  MEDLINE    
We report an unusual case of bilateral buttock claudication at ambulation of less than two blocks in a 57-year-old man with normal lower-extremity segmental pressure on noninvasive exercise testing. He was found to have bilateral high-grade internal iliac artery stenoses on arteriography. Both sides were successfully treated in a staged fashion via a contralateral approach with percutaneous transluminal angioplasty and a balloon-expandable stent, with complete symptom resolution. A clinical vascular examination with normal findings of the common iliac, external iliac, and common and superficial femoral arteries eliminates significant vascular obstruction as a cause of claudication. However, internal iliac occlusive disease may be suspected when symptoms are limited to the gluteal musculature and other causes are eliminated. Percutaneous interventions can be of diagnostic and therapeutic value.
Rabih A Chaer; Peter L Faries; Stephanie Lin; Rajeev Dayal; James F McKinsey; K Craig Kent
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  43     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-02-22     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-8     Citation Subset:  IM    
Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, New York, NY, USA.
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MeSH Terms
Angioplasty, Balloon*
Arterial Occlusive Diseases / complications*,  surgery*
Buttocks / blood supply*
Iliac Artery*
Intermittent Claudication / etiology*,  surgery*
Middle Aged
Remission Induction

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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