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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

Abstract

PILLAI, J et al. Aorto-internal iliac artery endovascular reconstruction for critical limb ischaemia: A case report. S. Afr. j. surg. [online]. 2015, vol.53, n.1, pp.26-27. ISSN 2078-5151.  http://dx.doi.org/10.7196/SAJS.2458.

The internal iliac artery and cruciate anastomosis are important collateral vessels in severe aortoiliac occlusive disease. This report describes a patient with left leg rest pain due to occlusion of the left common and external iliac arteries. In addition, there was a high-grade stenosis of the right common iliac artery. Direct catheter canulation of the left internal iliac artery revealed that it was patent. Endovascular stent placement was successful in re-establishing blood flow into the left internal iliac artery. Ischaemic rest pain was relieved and the ankle brachial index was maintained at 0.85 at 6 months follow-up.

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