Isquemia pélvica aguda: uma complicação fatal após tratamento endovascular de aneurisma aorto‐ilíaco com prótese ramificada da ilíaca

The acute pelvic ischemia is a serious complication and often a fatal outcome, which may result of bilateral hypogastric artery occlusion. As IBD revascularization failure may be fatal, the authors advise an extra caution in final angiography and a high level of suspicion for postoperative complications. Bilateral hypogastric preservation using IBD may be recommended, if there is a higher risk of technical failure, embolization or poor pelvic collateral circulation.