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Endovascular Revascularization for Atherosclerotic Pudendal Artery Obstructions

Nicolas Diehm, MD, Vascular Institute Central Switzerland, Aarau, Switzerland|2018-04-21
The radiology case report works with CT angiography and a selective intra-arterial angiogram to see the left pudendal internal artery.The radiology case report works with CT angiography and a selective intra-arterial angiogram to see the left pudendal internal artery.<br />
Selective intra-arterial angiogram (acquired with Artis Q angiography system) of the left pudendal internal artery showing a tandem lesion distally (arrows).

A 56-year-old male presented for vascular workup of erectile dysfunction (ED). He complained of a massive reduction in his penile rigidity leading to an inability to have sexual intercourse for the last 2 years despite the use of phosphodiesterase-5 inhibitors (Viagra). A workup with an urologist delivered no specific pathological findings and his testosterone levels were normal. His cardiovascular risk factors included cigarette smoking (40 pack years).

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