Although vascular specialists are well informed about the aortoiliac and femoral distal arterial trees, the hypogastric circulation remains a terra incognito to most. Patients may have significant or chronic or, rarely, pelvic arterial insufficiency This paper summarizes the anatomy and pathophysiology of this problem and outlines diagnostic options and treatment modalities for the occasional patient presenting with such problems.
Goldstein I. , Lue TF, Padma-Nathan H., et al. Oral sildenafil in the treatment of erectile dysfunction. N Engl J Med1998;338:1397-1404
2.
Iliopoulos JI , Howanitz EP, Kushkerian SM, et al. The critical hypogastric circulation . Am J Surg1987;154:671-675
3.
DePalma RGNew developments in the diagnosis and treatment of impotence (review) . West J Med1996;164:54-61
4.
Chiu RK, Pomeroy BD, Chen WS, et al. Hemodynamic patterns of pharmacologically-induced erection: Evaluations by color Doppler sonography. J Urol1998;159:109-112
5.
Lunell NO, Nylund L.Uteroplacental blood flow (review). Clin Obstet Gynecol1992;35:108-118
6.
Olofsson P., Laurini RN, Marsal K.A high uterine artery pulsatility index reflects a defective developmental of placental bed spiral arteries in pregnancies complicated by hypertension and fetal growth retardation. Eur J Obstet Gynecol Reproduct Biol1993;49: 161-168
7.
Leriche R.Des obliterations arterielles hautes (obliteration de la termination de l'aorta) comme causes d'insuffisances circulatoires des membres inferieurs . Bull Mem Soc Chir1923;49:1404-1406
8.
Johansen K.Pelvic revascularization by direct hypogastric artery re-construction . Am J Surg1996;171:456-459
9.
Gloviczki P. , Cross SA, Stanson AW, et al. Ischemic injury to the spinal cord or lumbosacral plexus after aorto-iliac reconstruction. Am J Surg1991 ;162:131-136
10.
Senapati A., Browse NLGluteal necrosis and paraplegia following postoperative bilateral internal iliac artery occlusion. J Cardiovasc Surg1990;31:194-196
11.
Szilagyi DEA second look at the etiology of spinal cord damage in surgery of the abdominal aorta (editorial). J Vasc Surg1993;17:111-113
12.
Salam AA, Sholkamy SM, Chaikof ELSpinal cord ischemia after abdominal aortic procedures: Is previous colectomy a risk factor? J Vasc Surg1993;17:1108-1110
13.
Clark SL, Phelan JP, Sze-Ya A., et al. Hypogastric artery ligation for obstetric hemorrhage. Obstet Gynecol1985;66:353-356
14.
Duff C., Simmen HP, Brunner U.Gluteal necrosis after acute ischemia of the internal iliac arteries . Vasa1990;3:252-256
15.
Chiu RCJ , Lidstone D., Blundell P.Predictive power of penile-brachial index in diagnosing male sexual impotence . J Vasc Surg1986;4:251-256
16.
Currie IC, Jones AJ, Wakeley CJ, et al. Non-invasive aortoiliac assessment. Eur J Vasc Endovasc Surg1995;9:24-28
17.
Montorsi F. , Guazzoni G., Bocciardi A., et al. Improved minimally-invasive assessment of penile haemodynamics: The combination of colour Doppler sonography and injection-stimulation test. Int J Impotence Res1995;7:33-40
18.
Fiddian-Green RGGut mucosal ischemia during cardiac surgery . Semin Thorac Cardiovasc Surg1990;2:389-399
19.
Vahl AC, Ozkayhal-Yilmaz E., Nauta SH, et al. Endoluminal pulse oximetry combined with tonometry to monitor the perfusion of the sigmoid colon during and after resection of abdominal aortic aneurysm. Cardiovasc Surg1997;5:65-70
20.
Seagraves A. , Rutherford RBIsolated hypogastric artery revascularization after previous bypass for aortoiliac occlusive disease. J Vasc Surg1987;5:472-474
21.
Cook AM, Dyet JFPercutaneous angioplasty of the superior gluteal artery in the treatment of buttock claudication. Clin Radiol1990 ;41:63-65
22.
Smith G., Train J., Mitty H., Jacobson J.Hip pain caused by buttock claudication: Relief of symptoms by transluminal angioplasty. Clin Orthop Rel Res1992;284:176-180
23.
Tegtmeyer CJ , Kellum CD, Kron IL, Mentzer RMPercutaneous transluminal angioplasty in the region of the aortic bifurcation. Radiology1985;157:661-665
