Bilateral internal iliac occlusion – Cardiology MCQ

Potential complication/s of bilateral internal iliac occlusion due to a stent graft:
a) Gluteal claudication
b) Erectile dysfunction
c) Bowel ischemia
d) All of the above
Correct answer: d) All of the above
Gluteal necrosis can occur in severe cases of gluteal ischemia. Bladder ischemia is another potential risk.
Coil embolisation of internal iliacs is resorted to for preventing type II endoleak when the aortic stent grafts needs to be extended into the external iliac arteries.
Reference

1. Engelke C, Elford J, Morgan RA, Belli AM. Internal iliac artery embolization with bilateral occlusion before endovascular aortoiliac aneurysm repair-clinical outcome of simultaneous and sequential intervention. J Vasc Interv Radiol. 2002 Jul;13(7):667-76.