Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice?
Objectives: Persistent sciatic artery (PSA) is a rare congenital malformation that could lead to serious complications such as lower extremity ischemiais. We report the treatment of a PSA patient combined with limb ischemia.Methods: A 64-year-old man was admitted to the hospital for intermittent cla...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2020.582753/full |
| _version_ | 1819206365215719424 |
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| author | Liming Deng Liming Deng Zhihe Deng Kaiyu Chen Ziyan Chen Gang Chen Guozuo Xiong |
| author_facet | Liming Deng Liming Deng Zhihe Deng Kaiyu Chen Ziyan Chen Gang Chen Guozuo Xiong |
| author_sort | Liming Deng |
| collection | DOAJ |
| description | Objectives: Persistent sciatic artery (PSA) is a rare congenital malformation that could lead to serious complications such as lower extremity ischemiais. We report the treatment of a PSA patient combined with limb ischemia.Methods: A 64-year-old man was admitted to the hospital for intermittent claudication of the right lower limb. The right ankle–brachial index (ABI) was 0.5. Computed tomography angiography (CTA) revealed the presence of an incomplete PSA with an absence superficial femoral artery. We performed catheter-directed thrombolysis (CDT) and stenting placement for the patient.Results: The vessels were successfully opened, and the claudication was resolved. However, half a year after the operation, the right PSA of the patient was occluded.Conclusion: The etiology, pathophysiology, and anatomic factors should be considered in the treatment of PSA. Endovascular treatment, bypass surgery, and drug therapy should be balanced. Improper choice of any treatment regimen may result in poor prognosis. |
| first_indexed | 2024-12-23T05:06:26Z |
| format | Article |
| id | doaj.art-495ee889066546f395fe80fa0cbdb1ee |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-23T05:06:26Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-495ee889066546f395fe80fa0cbdb1ee2022-12-21T17:59:05ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2020-11-01710.3389/fsurg.2020.582753582753Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice?Liming Deng0Liming Deng1Zhihe Deng2Kaiyu Chen3Ziyan Chen4Gang Chen5Guozuo Xiong6Department of Vascular Surgery, The Second Affiliated Hospital of University of South China, Hengyang, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of University of South China, Hengyang, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of University of South China, Hengyang, ChinaObjectives: Persistent sciatic artery (PSA) is a rare congenital malformation that could lead to serious complications such as lower extremity ischemiais. We report the treatment of a PSA patient combined with limb ischemia.Methods: A 64-year-old man was admitted to the hospital for intermittent claudication of the right lower limb. The right ankle–brachial index (ABI) was 0.5. Computed tomography angiography (CTA) revealed the presence of an incomplete PSA with an absence superficial femoral artery. We performed catheter-directed thrombolysis (CDT) and stenting placement for the patient.Results: The vessels were successfully opened, and the claudication was resolved. However, half a year after the operation, the right PSA of the patient was occluded.Conclusion: The etiology, pathophysiology, and anatomic factors should be considered in the treatment of PSA. Endovascular treatment, bypass surgery, and drug therapy should be balanced. Improper choice of any treatment regimen may result in poor prognosis.https://www.frontiersin.org/articles/10.3389/fsurg.2020.582753/fullpersistent sciatic arterythromboembolismendovascular repairmalformationlimb ischemia |
| spellingShingle | Liming Deng Liming Deng Zhihe Deng Kaiyu Chen Ziyan Chen Gang Chen Guozuo Xiong Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? Frontiers in Surgery persistent sciatic artery thromboembolism endovascular repair malformation limb ischemia |
| title | Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? |
| title_full | Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? |
| title_fullStr | Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? |
| title_full_unstemmed | Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? |
| title_short | Endovascular Repair of Persistent Sciatic Artery With Limb Ischemia: A Wrong Choice? |
| title_sort | endovascular repair of persistent sciatic artery with limb ischemia a wrong choice |
| topic | persistent sciatic artery thromboembolism endovascular repair malformation limb ischemia |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2020.582753/full |
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