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Successful endovascular therapy for recurrent acute limb ischaemia due to persistent sciatic artery aneurysm after femoropopliteal bypass
  1. Kohei Ukita,
  2. Ryu Shutta,
  3. Masami Nishino and
  4. Jun Tanouchi
  1. Cardiology, Osaka Rosai Hospital, Sakai, Osaka, Japan
  1. Correspondence to Dr Masami Nishino; 3522mn{at}gmail.com

Abstract

Persistent sciatic artery (PSA) is a rare vascular anomaly that can cause acute limb ischaemia (ALI) due to peripheral thromboembolism following aneurysm formation, and surgical repair or exclusion with or without femoropopliteal bypass is the standard treatment for these symptomatic cases of PSA. Here, we report a case of a 70-year-old man with right PSA aneurysm who suffered from recurrent ALI despite the history of right femoropopliteal bypass at the age of 58 for occlusion of right PSA and graft (femoropopliteal bypass graft)-to-tibial bypass at the age of 68 for occlusion of right posterior tibial artery. We performed a catheter angiographic examination using an intravascular ultrasound and performed an endovascular therapy (EVT) for the purpose of jailing the internal iliac artery. This is a rare case of PSA aneurysm presenting with recurrent ALI after femoropopliteal bypass successfully treated with EVT.

  • cardiovascular medicine
  • interventional cardiology

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Footnotes

  • Contributors KU wrote the manuscript draft and conducted the literature review. The manuscript was reviewed by RS and JT. MN edited the manuscript and finally confirmed it. All authors did clinical management for the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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