Endovascular Revascularization of an Occluded Persistent Sciatic Artery for Chronic Limb-threatening Ischemia in a Patient with Coronavirus Disease 2019

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2022 Jun 15

PMID 35702315

Authors

Tanner I Kim

Keyuree K Satam

Peter A Blume

Raul J Guzman

Cassius Iyad Ochoa Chaar

Affiliations

Soon will be listed here.

Abstract

A persistent sciatic artery (PSA) is a rare embryologic variant that usually presents with aneurysmal degeneration. This report describes a 66-year-old man with severe comorbidities who presented with right forefoot gangrene and severe acute respiratory syndrome coronavirus 2 infection. Imaging revealed a unilateral PSA with a chronic occlusion at the level of the knee joint with no aneurysm. After coronavirus disease 2019 resolution, he underwent CO angiography with successful recanalization of the PSA, followed by transmetatarsal amputation that healed uneventfully. At follow-up after 16 months, he was noted to have asymptomatic thrombosis of his stent and, hence, no intervention was performed.

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