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Endovascular Treatment of Persistent Sciatic Artery Occlusion: Case Report and Literature Review
Erica Mariani1, Andrea Andreone2, Paolo Perini3
1Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Abstract:
Persistent sciatic artery (PSA) is a rare congenital anatomic variant of the lower limb vascular system with highly variable presentations. The management of lower limb ischemia due to PSA disease is not specifically recommended in guidelines, and surgical by-pass is usually the most described treatment. We reported a case of a 46-year-old patient with bilateral PSA and right chronic limb-threatening ischemia due to PSA occlusion at the PSA-popliteal junction which was successfully treated with percutaneous transluminal balloon angioplasty. In addition to this case report, a systematic review of the literature regarding the endovascular management of PSA stenosis and occlusion was conducted.
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