Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia

Alan M. Dietzek, Jamie Goldsmith, Frank J. Veith, Luis A. Sanchez, Sushil K. Gupta, Kurt R. Wengerter

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

In patients with aortoiliac occlusive disease interruption of critical collaterals during another nonvascular or cardiac operation may threaten limb viability. This occurred in four patients whose limb-threatening ischemia was precipitated by radical cystectomy with bilateral hypogastric artery ligation, left colon resection, or coronary artery revascularizations by means of the internal mammary artery. Important collateral pathways, the interruption of which may account for this phenomenon, are detailed, and approaches are outlined for prevention and management of acute ischemia in this setting. (J VASC SURG 1990;12:645-53.)

Original languageEnglish
Pages (from-to)645-653
Number of pages9
JournalJournal of Vascular Surgery
Volume12
Issue number6
DOIs
StatePublished - Jan 1 1990
Externally publishedYes

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