Persistent sciatic artery (PSA) is an exceptionally rare vascular condition that occurs in approximately 0.025%-0.04% of the general population. We describe the case of a 51-year-old man who presented with acute left lower limb pain and high fever. He was diagnosed with COVID-19 and isolated, and conservative treatment was performed for toe pain, resulting in left toe necrosis. Computed tomography revealed PSA occlusion in the left lower extremity. We diagnosed the patient with acute occlusion of the PSA due to COVID-19. The complicated disease was successfully treated using distal artery bypass.
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http://dx.doi.org/10.3400/avd.cr.24-00126 | DOI Listing |
Ann Vasc Dis
March 2025
Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan.
Persistent sciatic artery (PSA) is an exceptionally rare vascular condition that occurs in approximately 0.025%-0.04% of the general population.
View Article and Find Full Text PDFAnn Neurol
March 2025
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Objective: The goal was to analyze the progression of cerebral edema post-endovascular thrombectomy (EVT) in large infarcts and its association with functional outcomes.
Methods: A secondary analysis of the Endovascular Therapy in Acute Anterior Circulation Large Vessel Occlusive Patients with a Large Infarct Core trial was conducted in patients with large ischemic cores randomized to receive either EVT or medical management (MM) alone. Patients who had follow-up imaging within 7 days post-randomization were involved.
Cureus
February 2025
Neurosurgery, Fukuoka University Hospital, Fukuoka, JPN.
The recanalization rate of endovascular therapy for acute ischemic stroke in intracranial atherosclerotic disease (ICAD) is inferior to that of cardiogenic stroke. This case study presents the long-term outcomes of a patient who underwent implantation of the Neuroform Atlas stent for the treatment of intracranial carotid artery stenosis, despite repeated re-occlusions after percutaneous transluminal angioplasty (PTA). A 75-year-old woman was transferred to our hospital with aphasia.
View Article and Find Full Text PDFWorld J Cardiol
February 2025
Cardiology Centre, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
Background: Primary percutaneous coronary intervention (PCI) is the preferred treatment for ST-segment elevation myocardial infarction (STEMI). However, in patients with high thrombus burden, immediate stenting during PCI can lead to poor outcomes due to the risk of thrombus migration and subsequent microvascular occlusion, resulting in no-reflow phenomena. Deferred stenting offers a potential advantage by allowing for the reduction of thrombus load, which may help to minimize the incidence of slow-flow and no-reflow complications.
View Article and Find Full Text PDFPan Afr Med J
March 2025
General Surgery, Mohammed VI University Hospital Center of Marrakech, Marrakech, Morocco.
Among the rare and complex causes of acute intestinal occlusion: volvulus due to the ileosigmoid node. The latter is secondary to the terminal ileum which will wrap around the base of the sigmoid colon and its meso, resulting in the formation of a node. Its natural evolution is the ischemia of the ileum and sigmoid, necessitating prompt emergency surgical intervention as the primary treatment approach.
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