Diagnosis and treatment of chronic pelvic aortic obstruction

The article was consulted professionally by Dr. Nguyen Van Duong – Interventional Cardiologist – Cardiovascular Center – Share99 Central Park International Health Hub.

Pelvic aortic obstruction if not treated in a timely manner will easily cause serious local and general complications. Treatment of pelvic aortic obstruction can be taken or intervened with invasive and more serious procedures than surgical treatment.

Aortic – the pelvis is responsible for the blood supply to the lower veins and organs in the femoral pelvic region. Chronic aortic-pelvic obstruction is a fairly common pathology, the main cause of which is atherosclerosis. Most diseases are detected at a late stage when there are complications, so it often has serious consequences for patients.

Symptoms of pelvic aortic obstruction may be unclear. Patients often have leg pain or cramps when walking, pain in the buttocks, thighs or calves. Disorders of the functioning of the genitals such as men may have problems with erections of the penis or patients with pain at rest and there are problems in the legs, feet, cold and numbness in the legs, there are ulcers or wounds even necrosis in the legs and feet.

The most common causes of pelvic aortic obstruction are atherosclerosis that can be caused by smoking, diabetes, high blood cholesterol, high bloodpressure , heredity or obesity. Inflammation such as Takayasu vascular inflammation can cause arteritis to clog arteries. Pelvic radiation is also a cause of inflammation of the arteries leading to arterial obstruction.

2.1 Sub-clinical testing

● Ankle-arm index (ABI) test

● Ultrasonic Doppler Vascular Veins

More accurate imaging tests such as vascular CT, vascular MRI, or background aortic anthography (DSA). These tests often require the use of various contrast drugs to find out where the artery is blocked thereby planning future treatment. For vascular CT and vascular MRI, photothrography is injected into the intravenous route. For background-clearing pelvic aortic aortic imaging (DSA), the fluorescent drug will be transmitted through the catheter inserted into the pelvic artery – thigh.

2.2 Treatment of pelvic aortic obstruction

Changes in risk factors are essential such as quit smoking, controlling cholesterol or highblood pressure , controlling diabetes and exercising regularly.

Take prescription medications prescribed by your doctor to prevent blood clots and help control cholesterol and also help prevent the progress of atherosclerosis plaque.

If taking the drug cannot improve symptoms for the person, invasive treatment or surgery may be considered.

The most common invasive treatment is to place a stent in the aortic or pelvic artery. This procedure is usually performed at the same time as background aortic bumper(DSA) scansthrough the cathetro. Stent is a metal stand for compressing plaque into the walls of arteries to create a wider path that leads blood to feed the lower veins.

Vascular bridgeing surgery is the use of a segment of the artery or vein to connect the aortic above the narrowing to the pelvic artery below the narrowing site, creating a new blood circulation line to feed the lower arterial artery. A bridge can be made on one or both spendss at the same time. For patients with severe aortic-pelvic diseases such as aortic dissection, special equipment (Stent graft) should be used to re-clear the blood flow that feeds the lower creas and avoid complications of damage to the pelvic organs.

Pelvic aortic obstruction if not treated in a timely manner will easily cause serious local and general complications. The local risk is that the person may have necrosis in the legs, feet and may have to be removed. On the other hand, since atherosclerosis is a system disease, in addition to the aortic, the pelvic artery is clogged, all other blood vessels in the body are also at risk, especially the arteries that feed the heart if clogged will cause myocardial infarction; arteries that feed the brain if clogged will cause cerebral vascular accidents; clogged renal arteries will cause kidneyfailure, hypertension … These complications are very dangerous that can be fatal to the person.