A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice
Objectives: Collateral pathways in aortoiliac occlusive disease are essential for arterial blood flow to the lower abdomen and limbs. These different pathways further indicates the severity of disease and need of an appropriate treatment. The present study attempts in describing the various collater...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
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| Online Access: | https://journals.lww.com/10.4103/ijves.ijves_106_24 |
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| author | Madavan Praveena Devender Singh Bhavani Prasad Kalagani |
| author_facet | Madavan Praveena Devender Singh Bhavani Prasad Kalagani |
| author_sort | Madavan Praveena |
| collection | DOAJ |
| description | Objectives:
Collateral pathways in aortoiliac occlusive disease are essential for arterial blood flow to the lower abdomen and limbs. These different pathways further indicates the severity of disease and need of an appropriate treatment. The present study attempts in describing the various collateral pathways and its implication in the clinical practice.
Materials:
This is a retrospective study from January 2023 to June 2024 and reviewed all the records. Twelve patients (10 males, 2 females) with a mean age of 60 years were included in this study. All the patients were evaluated with three dimensional volume rendered rotational CT angiography and non invasive segmental blood pressure, pulse volume recording with ankle brachial index.
Results:
Nine patients had diabetes mellitus, 8 hypertension, and 6 dyslipidemia. Ten were active smokers. Five patients presented with intermittent claudication and 7 presented with critical limb ischemia. Two dominant collateral pathways were observed. Systemic collateral pathways were dominant in 7 patients, whereas visceral collaterals pathways were prominent in 5 patients. It is noted that complete occlusion of infrarenal aorta tends to have visceral collaterals pathways, whereas distal aortic occlusions had systemic collaterals pathways. Patients with visceral pathways had lower ABI and required early revascularisation. Knowledge of these pathways, demands careful surgical dissection; however we did not find any difference in the post operative outcome after successful revascularisation.
Conclusions:
Collateral pathways are defined mainly by the location of the lesion and helps in deciding the appropriate treatment. Patients with visceral collaterals pathways are more symptomatic and needs early revascularisation. Failure to recognize these pathways particularly during non vascular surgeries could lead to limb threatening situations. |
| format | Article |
| id | doaj-art-bf03744a93fc4cbab670bfab61e9284a |
| institution | DOAJ |
| issn | 0972-0820 2394-0999 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj-art-bf03744a93fc4cbab670bfab61e9284a2025-08-20T03:07:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992025-04-0112211211610.4103/ijves.ijves_106_24A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical PracticeMadavan PraveenaDevender SinghBhavani Prasad KalaganiObjectives: Collateral pathways in aortoiliac occlusive disease are essential for arterial blood flow to the lower abdomen and limbs. These different pathways further indicates the severity of disease and need of an appropriate treatment. The present study attempts in describing the various collateral pathways and its implication in the clinical practice. Materials: This is a retrospective study from January 2023 to June 2024 and reviewed all the records. Twelve patients (10 males, 2 females) with a mean age of 60 years were included in this study. All the patients were evaluated with three dimensional volume rendered rotational CT angiography and non invasive segmental blood pressure, pulse volume recording with ankle brachial index. Results: Nine patients had diabetes mellitus, 8 hypertension, and 6 dyslipidemia. Ten were active smokers. Five patients presented with intermittent claudication and 7 presented with critical limb ischemia. Two dominant collateral pathways were observed. Systemic collateral pathways were dominant in 7 patients, whereas visceral collaterals pathways were prominent in 5 patients. It is noted that complete occlusion of infrarenal aorta tends to have visceral collaterals pathways, whereas distal aortic occlusions had systemic collaterals pathways. Patients with visceral pathways had lower ABI and required early revascularisation. Knowledge of these pathways, demands careful surgical dissection; however we did not find any difference in the post operative outcome after successful revascularisation. Conclusions: Collateral pathways are defined mainly by the location of the lesion and helps in deciding the appropriate treatment. Patients with visceral collaterals pathways are more symptomatic and needs early revascularisation. Failure to recognize these pathways particularly during non vascular surgeries could lead to limb threatening situations.https://journals.lww.com/10.4103/ijves.ijves_106_24aortoiliac diseasenonvascular surgeriessystemic collateralsvisceral collaterals |
| spellingShingle | Madavan Praveena Devender Singh Bhavani Prasad Kalagani A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice Indian Journal of Vascular and Endovascular Surgery aortoiliac disease nonvascular surgeries systemic collaterals visceral collaterals |
| title | A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice |
| title_full | A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice |
| title_fullStr | A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice |
| title_full_unstemmed | A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice |
| title_short | A Study on Description of Collateral Pathway Patterns in Patients with Aortoiliac Occlusive Disease and Its Prospective Implication in Clinical Practice |
| title_sort | study on description of collateral pathway patterns in patients with aortoiliac occlusive disease and its prospective implication in clinical practice |
| topic | aortoiliac disease nonvascular surgeries systemic collaterals visceral collaterals |
| url | https://journals.lww.com/10.4103/ijves.ijves_106_24 |
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