Endovascular revascularization of an occluded persistent sciatic artery for chronic limb-threatening ischemia in a patient with Coronavirus Disease 2019.

Autor: Kim TI; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT., Satam KK; Yale School of Medicine, New Haven, CT., Blume PA; Department of Orthopedic Surgery and Anesthesia, Yale School of Medicine, New Haven, CT., Guzman RJ; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT., Ochoa Chaar CI; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, CT.
Jazyk: angličtina
Zdroj: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2022 Sep; Vol. 8 (3), pp. 345-348. Date of Electronic Publication: 2022 Jun 09.
DOI: 10.1016/j.jvscit.2022.04.014
Abstrakt: A persistent sciatic artery (PSA) is a rare embryologic variant that usually presents with aneurysmal degeneration. This report describes a 66-year-old man with severe comorbidities who presented with right forefoot gangrene and severe acute respiratory syndrome coronavirus 2 infection. Imaging revealed a unilateral PSA with a chronic occlusion at the level of the knee joint with no aneurysm. After coronavirus disease 2019 resolution, he underwent CO 2 angiography with successful recanalization of the PSA, followed by transmetatarsal amputation that healed uneventfully. At follow-up after 16 months, he was noted to have asymptomatic thrombosis of his stent and, hence, no intervention was performed.
(© 2022 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.)
Databáze: MEDLINE
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