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Catheter-Directed Thrombolysis for Persistent Sciatic Artery Presenting with Acute Limb Ischemia
Masaya Nakashima1, Masayoshi Kobayashi1
1Department of Vascular Surgery, Tokoname Municipal Hospital, Tokoname, Aichi, Japan.
Vascular Specialist International
|January 8, 2023
Summary
Persistent sciatic artery (PSA) is a rare congenital condition causing leg ischemia and potential limb-threatening complications. This case highlights successful emergency catheter-based thrombolysis for acute limb ischemia in a PSA patient.
Area of Science:
- Vascular Surgery
- Congenital Disorders
- Interventional Radiology
Background:
- Persistent sciatic artery (PSA) is a rare congenital peripheral artery disorder.
- It can lead to serious complications like iliac aneurysm and acute thromboembolism.
- These complications may present as rest pain, claudication, or limb-threatening ischemia.
Observation:
- The patient presented with acute limb ischemia.
- This was associated with a persistent sciatic artery.
- The condition was diagnosed via computed tomographic examination.
Findings:
- Emergent revascularization is crucial for patients with PSA and leg ischemia.
- Catheter-based thrombolysis was successfully employed as an emergency procedure.
- This intervention addressed acute limb ischemia in the context of PSA.
Implications:
- Catheter-based thrombolysis offers a viable emergency treatment option for acute limb ischemia in PSA patients.
- Prompt management of PSA-related complications is essential to prevent limb loss.
- This case contributes to understanding the interventional management of rare vascular anomalies.
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