Duan Kristina, Huang Jiaqi, Cui Chaoyi, Shi Huihua, Lu Xinwu, Liu Xiaobing
Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Vasc Surg Cases Innov Tech. 2019 Aug 14;5(3):379-383. doi: 10.1016/j.jvscit.2018.12.017. eCollection 2019 Sep.
Patients with persistent sciatic artery are at high risk for development of limb ischemia, aneurysm formation, and embolism. In this report, we identify a nonclassified left leg persistent sciatic artery in a patient with chronic limb ischemia. Vascular reconstruction was carried out by common iliac-deep femoral artery bypass to restore adequate arterial flow. Our approach to placement of the distal anastomosis on the deep femoral artery instead of on the popliteal artery, which is used in routine practice, may potentially increase treatment efficacy and decrease surgical complications. At 2-year follow-up, the patient remained asymptomatic and in good health.
患有持续性坐骨动脉的患者发生肢体缺血、动脉瘤形成和栓塞的风险很高。在本报告中，我们在一名患有慢性肢体缺血的患者中发现了一条未分类的左腿持续性坐骨动脉。通过髂总-股深动脉旁路术进行血管重建，以恢复充足的动脉血流。我们将远端吻合口置于股深动脉而非常规使用的腘动脉上的方法，可能会提高治疗效果并减少手术并发症。在2年的随访中，患者仍无症状且健康状况良好。
