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Angiography provides important information regarding the perfusion and patency of distal arteries (e.g. femoral artery). The presence of collateral arteries in the pelvic and groin area is important in maintaining crucial blood flow and lower limb viability. However, angiography should only be used if symptoms warrant surgical intervention. [2]
In individuals who are biological females, the ovarian artery (a branch of the abdominal aorta) and uterine arteries form anastomoses. [6] Right (distal from spectator) internal iliac artery and branches, except for iliolumbar artery, umbilical artery, uterine artery/deferential artery and vaginal artery/inferior vesical artery.
The iliolumbar artery is the first branch of the posterior trunk of the internal iliac artery. [1] It turns upward behind the obturator nerve and the external iliac artery and vein, to the medial border of the psoas major muscle, behind which it divides into: Lumbar branch of iliolumbar artery; Iliac branch of iliolumbar artery
Carotid endarterectomy is used to reduce the risk of strokes caused by carotid artery stenosis over time. Carotid stenosis can either have symptoms (i.e., be symptomatic), or be found by a doctor in the absence of symptoms (asymptomatic) - and the risk-reduction from endarterectomy is greater for symptomatic than asymptomatic patients.
Normally, the blockage should affect approximately 70% of the artery for symptoms to become noticeable. [3] Symptoms can be less severe during gradual narrowing, as this allows time for the widening of existing vessels and the formation of new ones ( collateral vessels ), allowing blood to still reach the area.
Carotid artery stenosis can be treated with angioplasty and carotid stenting for patients at high risk for undergoing carotid endarterectomy. [11] Although carotid endarterectomy is typically preferred over carotid artery stenting, stenting is indicated in select patients with radiation-induced stenosis or a carotid lesion not suitable for surgery.
The obturator artery is a branch of the internal iliac artery that passes antero-inferiorly (forwards and downwards) on the lateral wall of the pelvis, to the upper part of the obturator foramen, and, escaping from the pelvic cavity through the obturator canal, it divides into an anterior branch and a posterior branch.
The iliac branch of the iliolumbar artery (ramus iliacus) descends to supply the iliacus muscle; some offsets, running between the muscle and the bone, anastomose with the iliac branches of the obturator artery; one of these enters an oblique canal to supply the bone, while others run along the crest of the ilium, distributing branches to the gluteal and abdominal muscles, and anastomosing in ...
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