scholarly journals Transient Hemi-Lower Limb Ischemia in the Newborn: Arterial Thrombosis or Persistent Sciatic Artery?

2017 ◽  
Vol 07 (01) ◽  
pp. e13-e16
Author(s):  
Makiko Kirino ◽  
Masayuki Ochiai ◽  
Masako Ichiyama ◽  
Hirosuke Inoue ◽  
Takeshi Kusuda ◽  
...  
Keyword(s):  
Lower Limb ◽  
Arterial Thrombosis ◽  
Vascular Anomaly ◽  
Limb Ischemia ◽  
Therapeutic Interventions ◽  
Lower Limb Ischemia ◽  
Persistent Sciatic Artery ◽  
Contrast Enhanced ◽  
Ischemic Episode ◽  
Enhanced Computed Tomography

Neonatal thromboembolism occurs with various predispositions and triggers. Early diagnosis of the thrombosis is challenging and essential for the therapeutic interventions. We herein report two newborns who presented with transient hemi-lower limb ischemia due to (1) arterial thrombosis or (2) a persistent sciatic artery (PSA). The patient with arterial thrombosis showed elevations of fibrin degradation product and D-dimer and received antithrombin and heparin intravenously. The patient with PSA was immediately assessed by a contrast-enhanced computed tomography because of a transient ischemic episode with no evidence of hypercoagulability. Newborns suspected of having arterial thrombosis may need urgent surgical intervention along with thrombolytic and anticoagulant therapy to prevent organ ischemia and amputation of extremities. Conversely, some PSA cases have reportedly been treated conservatively. This vascular anomaly was previously reported as a cause of lower limb ischemia only in a newborn. PSA is a critical differential diagnosis of neonatal arterial thrombosis that needs urgent therapeutic intervention.

Clinical management of lower limb ischemia secondary to a persistent sciatic artery aneurysm: Report of a case

Surgery Today ◽  
2011 ◽  
Vol 41 (3) ◽  
pp. 402-405 ◽  
Author(s):  
Yasuyuki Bito ◽  
Masayuki Sakaki ◽  
Osamu Iida ◽  
Kazushige Inoue ◽  
Yoshiteru Yoshioka ◽  
...  
Keyword(s):  
Lower Limb ◽  
Clinical Management ◽  
Artery Aneurysm ◽  
Limb Ischemia ◽  
Lower Limb Ischemia ◽  
Persistent Sciatic Artery

scholarly journals COVID vaccine related lower limb gangrene: the first case report

2021 ◽  
Vol 8 (10) ◽  
pp. 3204
Author(s):  
Nishant Lal ◽  
Shafy Ali Khan ◽  
Aiswarya R. Pillai ◽  
Shafy Ali Khan
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Arterial Thrombosis ◽  
Clinical Symptoms ◽  
Limb Ischemia ◽  
Lower Limb Ischemia ◽  
First Case ◽  
Symptoms And Signs

Though there have been multiple cases of arterial thrombosis and gangrene of limbs reported following COVID-19 infections, there has not been any case reported following COVID-19 vaccinations. Here we reported a case of acute lower limb ischemia following COVID-19 vaccination in a 32 year male with no co-morbidities. The clinical symptoms and signs related to lower limb ischemia started 2 weeks after COVID-19 vaccination. Despite anticoagulation, thrombo embolectomy and intraluminal catheter guided thrombolysis, patient’s left forefoot became gangrenous and had to be amputated.

Lower-Limb Ischemia at Birth Because of Spontaneous Arterial Thrombosis

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Sandeep V. Vaidya ◽  
Deepika A. Pinto ◽  
Rujuta Mehta ◽  
Mandar V. Agashe ◽  
Alaric Aroojis
Keyword(s):  
Lower Limb ◽  
Arterial Thrombosis ◽  
Limb Ischemia ◽  
Lower Limb Ischemia

scholarly journals Acute Lower Limb Ischemia in COVID-19 Patient with Delayed Presentation

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sangam Shah ◽  
Rukesh Yadav ◽  
Rajan Chamlagain ◽  
Yagya Raj Adhikari ◽  
Sanjit Kumar Sah ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Lower Limb ◽  
Arterial Thrombosis ◽  
Late Onset ◽  
Limb Ischemia ◽  
Delayed Presentation ◽  
Common Complication ◽  
Lower Limb Ischemia ◽  
Visceral Arteries

Thromboembolism is a common complication of SARS-CoV-2, which generally involves venous thromboembolism, although there have been reported cases of arterial thrombosis affecting cerebral, coronary, and visceral arteries, as well as arteries in the extremities. We discuss a case of a 45-year-old diabetic man with COVID-19 who developed late-onset acute lower limb ischemia.

scholarly journals Persistent Sciatic Artery Presenting With Right Lower Limb Ischemia: A Potential Sonographic Pitfall

2020 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Venkatraman Bhat ◽  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Limb Ischaemia ◽  
Lower Limb Ischemia ◽  
Persistent Sciatic Artery ◽  
Lower Limb Ischaemia ◽  
Initial Imaging

A case of persistent sciatic artery is reported in a patient with the lower limb ischaemia. Initial imaging dopplar sonography suggested a possible occlusion of the superficial femoral artery.

scholarly journals Persistent Sciatic Artery Aneurysm with Lower Limb Ischemia

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Gaurav Kesri ◽  
Jitendra Mangtani ◽  
Gaurav Kumar ◽  
Krishan Kumar Dangayach
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Artery Aneurysm ◽  
Limb Ischemia ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Diagnostic Dilemma ◽  
Lower Limb Ischemia ◽  
Persistent Sciatic Artery ◽  
Endovascular Approach

Persistent sciatic artery is a very rare clinical entity. Those of us who have not seen the lesion regard this as a condition which is described in the literature through less than 200 cases. We report, here, a case of a 60-year-old female who presented to the surgical outdoor with complaints of a pulsatile gluteal swelling associated with ischemic changes in the ipsilateral lower limb. On Doppler and CT angiographic analysis, the patient was determined as having persistent sciatic artery aneurysm which was then managed by a combined surgical and endovascular approach. Ours is probably the first such case to be reported from India. The objective of this case report is to highlight the relevant embryology, the pathognomonic presenting features, the diagnostic dilemma, management, and complications associated with a case of persistent sciatic artery (PSA).

scholarly journals A CASE OF ACUTE LOWER LIMB ISCHEMIA ASSOCIATED WITH PERSISTENT SCIATIC ARTERY

2004 ◽  
Vol 65 (11) ◽  
pp. 3065-3069
Author(s):  
Kazunori INUZUKA ◽  
Naoki UNNO ◽  
Hiroshi MITSUOKA ◽  
Kei ISHIMARU ◽  
Hiroyuki KONNO
Keyword(s):  
Lower Limb ◽  
Limb Ischemia ◽  
Lower Limb Ischemia ◽  
Persistent Sciatic Artery

scholarly journals Case of persistent sciatic artery in a dialysis patient with critical limb ischemia

2022 ◽  
Vol 10 ◽  
pp. 2050313X2110685
Author(s):  
Yasuhito Nakamura ◽  
Yoshitaka Kumada ◽  
Akihiro Mori ◽  
Norikazu Kawai ◽  
Narihiro Ishida
Keyword(s):  
Blood Flow ◽  
Saphenous Vein Graft ◽  
Limb Ischemia ◽  
Lower Limbs ◽  
Whole Body ◽  
Persistent Sciatic Artery ◽  
Stenotic Lesion ◽  
Contrast Enhanced ◽  
Pain At Rest ◽  
Enhanced Computed Tomography

Persistent sciatic artery is a rare congenital malformation (incidence rate, 0.03%–0.06%). We report the case of a 72-year-old male patient with persistent sciatic artery suffering from pain at rest and an ulcer on the left first toe. Angiography findings showed 90% stenosis in the distal persistent sciatic artery. Endovascular therapy was considered difficult because of a long stenotic lesion from the persistent sciatic artery to the popliteal artery and extremely high calcification of the whole body. Because of poor blood flow to the lower leg, vascular prosthesis would have increased the risk of thrombotic occlusion. Therefore, below-knee femoropopliteal bypass using the great saphenous vein graft was performed, which led to the healing of the ulcer on the left first toe. Contrast-enhanced computed tomography of the lower limbs was performed to confirm that the bypass blood flow was good. The patient was discharged on postoperative day 5.

scholarly journals Reperfusion Injury with Compartment Syndrome Following Systemic Thrombolysis for Cardiac Catheterization-Related Arterial Thrombosis in an Infant

2019 ◽  
Vol 09 (01) ◽  
pp. 074-076
Author(s):  
Dyan Zhewei Zhang ◽  
Teng Hong Tan ◽  
Kenneth Pak Leung Wong ◽  
Sreekanthan Sundaraghavan ◽  
Jonathan Tze Liang Choo
Keyword(s):  
Reperfusion Injury ◽  
Compartment Syndrome ◽  
Cardiac Catheterization ◽  
Lower Limb ◽  
Arterial Thrombosis ◽  
Limb Ischemia ◽  
Lower Limb Ischemia ◽  
Systemic Thrombolysis

AbstractSystemic thrombolysis is increasingly used for management of arterial thrombosis following cardiac catheterization, and complications apart from bleeding manifestations are not well reported. We report the case of an infant with lower limb ischemia secondary to femoral arterial thrombosis, which developed after cardiac catheterization. Systemic thrombolysis resulted in successful reperfusion of the lower limb. However, the infant subsequently developed compartment syndrome, requiring an emergent fasciotomy. This case highlights the importance of surveillance for the development of reperfusion injury-related compartment syndrome postsystemic thrombolysis for arterial thrombosis.

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