Value of revascularization of the hypogastric artery in chronic vascular disorders of the lower limbs. Personal experience with 200 cases
Batt, M.; Hassen-Khodja, R.; Le Bas, P.
Journal de Chirurgie 121(6-7): 443-449
1984
ISSN/ISBN: 0021-7697 PMID: 6480725 Document Number: 240409
Physiopathological studies combined with clinical experience have stimulated renewed interest in the hypogastric artery, a true circulatory center for the lower limbs but also a "spare wheel" in case of failure of aortofemoral revascularization. For these reasons it is considered that as with the deep femoral arteries the direct reestablishment of the hypogastric arteries should be a desired objective. To support this opinion, results of 200 direct revascularizations of the internal iliac artery are reported. These were conducted during aorto-ilio-femoral restoration, and the technique is now well established: either thrombo-endarterectomy (41% of cases); prosthetic by-pass (51% of cases) or exceptionally reimplantation (8% of cases).