Manejo de arteria hipogástrica en el tratamiento endovascular de aneurismas aorto-ilíacos

ses technical success. The initial standard treatment has been the exclusion of the hypogastric artery by advancing the device to the external iliac artery, with coils embolization of the artery; although in recent years, numerous articles have described that pelvic ischemic complications are not insignificant. Flow preservation techniques have been shown to decrease the rate of such complications. The bell bottom technique, which preserves the hypogastric artery, is a therapeutic option, although not without distal endoleak possibility due to the growth of the sac. Revascularization techniques using devices with branches and the sandwich technique emerge as safe and effective, though it would take longer follow-up and multicenter studies to better define the anatomical requirements necessary and thus improve patient selection.