The IBE preserves blood flow to the internal iliac
artery, which supplies blood to the pelvic organs, gluteal region, and the legs, eliminating complications, and providing a better quality of life for patients.
Prompt surgical interventions like hemostatic sutures in placental bed, uterine and internal iliac
artery ligation and application of B-lynch suture in combination with quick resuscitation, management and expertise of a surgeon minimizes morbidity and mortality19,20.
In an interview, she said that the harvest is now about a 4- to 5-hour open procedure that takes the uterus, the cervix, and the very superior portion of the vagina, as well as the uterine arteries and veins out to the internal iliac
The angiogram showed negative findings in the thoracic aorta, pulmonary vessels, abdominal aorta, superior mesenteric artery, inferior mesenteric artery, internal iliac
artery, external iliac artery, renal artery, and testicular artery, as well as their main branches.
R = right; L = left; 1 = proximal (L) common iliac vein compressed by (R) common iliac artery; 2 = proximal (R) common iliac vein compressed by (R) common iliac artery; 3 = distal (L) common iliac vein compressed by (L) internal iliac
artery; 4 = distal (R) common iliac vein compressed by (R) internal iliac
The procedure was inititated by placing a number 4 French sheath into the right common femoral artery and passed retrograde into the right external iliac artery, right common iliac artery and aorta, respectively, at which point crossing over to the left common iliac artery, left internal iliac
artery, and the left uterine artery.
Caesarean hysterectomy with internal iliac
artery ligation was done in 5 (23%), caesarean hysterectomy with bladder repair in 5 (23%), 7 (33.
A 4F cobra catheter glide wire was inserted to the right internal iliac
artery from the right femoral artery.
The uterine artery usually arises from the anterior division of the internal iliac
artery and has a characteristic U shape.
To the right of the internal iliac
artery at the beginning of its junction with the ventral peritoneum, the fat tissue was dissected using a Maryland forceps and Metzenbaum scissors.
The left internal iliac
artery was coil embolized (Figure 3).
Used in conjunction with the Gore Excluder AAA Endoprosthesis, the IBE preserves blood flow in the external iliac and internal iliac