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Pelvic Arterial Insufficiency and What to Do About It

University of Washington School of Medicine; Director, Surgical Education, Providence Seattle Medical Center, Seattle, WA

Although vascular specialists are well informed about the aortoiliac and femoral distal arterial trees, the hypogastric circulation remains a terra incognito to most. Patients may have significant or chronic or, rarely, pelvic arterial insufficiency This paper summarizes the anatomy and pathophysiology of this problem and outlines diagnostic options and treatment modalities for the occasional patient presenting with such problems.

Key Words: Ischemia • hypogastric arteries • duplex scan

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