Sequential Dilatation of the Superior Gluteal Artery Following Coil Embolization of the Internal Iliac Artery and Endovascular Abdominal Aneurysm Repair: A Case Report

Motoki Nakai; Kouhei Nakata; Morio Sato; Akira Ikoma; Hiroki Minamiguchi; Nobuyuki Kawai; Tetsuo Sonomura; Atutoshi Hatada; Yoshiharu Nishimura; Yoshitaka Okamura

doi:10.3400/avd.cr.10.01038

Case Reports

Sequential Dilatation of the Superior Gluteal Artery Following Coil Embolization of the Internal Iliac Artery and Endovascular Abdominal Aneurysm Repair: A Case Report

Motoki Nakai, Kouhei Nakata, Morio Sato, Akira Ikoma, Hiroki Minamiguchi, Nobuyuki Kawai, Tetsuo Sonomura, Atutoshi Hatada, Yoshiharu Nishimura, Yoshitaka Okamura

Author information

Motoki Nakai
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Kouhei Nakata
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Morio Sato
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Akira Ikoma
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Hiroki Minamiguchi
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Nobuyuki Kawai
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Tetsuo Sonomura
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Atutoshi Hatada
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan
Yoshiharu Nishimura
Department of First Surgery, Wakayama Medical University, Wakayama, Wakayama, Japan
Yoshitaka Okamura
Department of Radiology, Wakayama Medical University, Wakayama, Wakayama, Japan

Keywords: abdominal aortic aneurysm, endovascular aneurysm repair, buttock claudication, internal iliac artery

JOURNAL FREE ACCESS

2011 Volume 4 Issue 2 Pages 134-138

DOI https://doi.org/10.3400/avd.cr.10.01038

View "Advance Publication" version (April 5, 2011).

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Abstract

We present a case of an 80-year-old male who had a right buttock claudication after embolization of the right internal iliac artery and endovascular aneurysm repair (EVAR) for aneurysms of the right common iliac and abdominal arteries. We used follow-up dynamic computed tomography to measure the diameter of the superior gluteal artery (SGA). The comparison ratio (SGA diameter after EVAR / SGA diameter before EVAR) of the right SGA at 1, 3, and 9 months was 0.74, 0.80, and 1.1, respectively, while that of the left SGA at 9 months was 0.97. The patient reported using a walking stick at 1- and 3-month follow-ups but not at the 9-month follow-up. The computed tomography (CT) showed sequential dilatation of the SGA, which appeared to be associated with the relief of the buttock claudication.

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