Hayashi Toshihiko, Mine Takahiko, Mizushima Shohei, Fujii Masahiro, Iseki Yohei, Yamada Naoki, Bessho Ryuzo, Kumita Shin-Ichiro
Department of Radiology, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Department of Radiology, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan.
J Vasc Surg Cases Innov Tech. 2020 Oct 19;7(1):128-132. doi: 10.1016/j.jvscit.2020.09.012. eCollection 2021 Mar.
In the present report, we have described the case of a 79-year-old woman who presented with acute right lower limb ischemia and was diagnosed with bilateral persistent sciatic arteries and a right persistent sciatic artery aneurysm. Concomitant widespread thrombotic occlusion was present, extending from the orifice of the right internal and external iliac arteries to the below-the-knee popliteal artery. These complicated lesions were successfully treated using only percutaneous endovascular procedures, including stent-graft placement, bare metal stent implantation, and thrombolysis. Our report illustrates how a combination of techniques can achieve total endovascular repair of a persistent sciatic artery aneurysm accompanied by occlusion of the internal and external iliac arteries.
在本报告中，我们描述了一名79岁女性的病例，该患者表现为急性右下肢缺血，被诊断为双侧坐骨动脉持续存在及右侧坐骨动脉动脉瘤。同时存在广泛的血栓性闭塞，从右髂内、外动脉开口延伸至膝下腘动脉。仅通过经皮血管腔内手术成功治疗了这些复杂病变，包括置入覆膜支架、植入裸金属支架和溶栓治疗。我们的报告说明了如何通过技术组合实现对伴有髂内、外动脉闭塞的持续性坐骨动脉动脉瘤进行完全血管腔内修复。
