scholarly journals Angio-Seal™ Embolization: A Rare Etiology of an Acute Distal Limb Ischemia

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Glenmore Lasam ◽  
Joshua Brad Oaks ◽  
Jeffrey Brensilver
Keyword(s):  
Compartment Syndrome ◽  
Femoral Artery ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Vascular Complication ◽  
Closure Device ◽  
Lower Limb Ischemia ◽  
Diagnostic Cardiac Catheterization ◽  
The Right

We herein report a serious vascular complication of diagnostic cardiac catheterization due to an embolization of an Angio-Seal closure device causing acute lower limb ischemia. The Angio-Seal was deployed via the right femoral artery following the catheterization which embolized several hours later to the right popliteal artery. Fogarty embolectomy restored perfusion to the right lower limb; however, compartment syndrome subsequently developed which required evacuation of a hematoma and repair of right popliteal artery.

scholarly journals Lower limb ischemia due to popliteal artery compression by Baker cyst

2018 ◽  
Vol 4 (2) ◽  
pp. 99-101 ◽  
Author(s):  
Kazuhiro Fujiyoshi ◽  
Yoshiyasu Minami ◽  
Taiki Tojo ◽  
Dai Iwase ◽  
Mitsuhiro Hirata ◽  
...  
Keyword(s):  
Popliteal Artery ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Lower Limb Ischemia

scholarly journals P853 Bilateral lower limb ischemia in a healthy young man what if the heart was hiding the etiology

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Mouadili ◽  
A Tamdy ◽  
B El Fatmi ◽  
S Elkarimi
Keyword(s):  
Popliteal Artery ◽  
Lower Limb ◽  
Cardiac Myxoma ◽  
Clinical Manifestations ◽  
Limb Ischemia ◽  
Atrial Myxoma ◽  
Surgical Removal ◽  
Left Atrial Myxoma ◽  
Tibial Arteries ◽  
The Right

Abstract Cardiac myxoma is the most common benign cardiac tumor with diverse nonspecific clinical manifestations; moreover, atrial myxoma embolization to the peripheral vessels is rare. A 24-year-old man presented tothe emergency departement complaining ofpain and coldness of his two lower extremities. The right femoral pulse was normally felt while the pulses of the left lower limb from the femoral down to the posterior and anterior tibial arteries were not felt. Bilateral thrombectomy was performed on emergency basisand a fatty-like mass from the left femoral artery was removed. The histological examination of this mass was suggestive of myxoma.So, transthoracic echocardiography was done and confirmed the diagnosis of myxoma that was seen in the left atrium and measuring about 10X6 cm in its maximal dimensions. Surgical removal of the myxoma was done later and the patient recovered uneventfully. Conclusion Although myxomas are rare, they should be considered in the differential diagnosis of peripheral embolic disease, especially when an embolic event occurs in a young adult without evidence of endocarditis or arrhythmia. Echocardiography is the modality of choice for diagnosis and follow-up of this type of tumors. FIGURE 1: CTA (computed tomography angiography) showing Occlusion of the left popliteal artery and occlusion of the distal part of the right popliteal artery FIGURE 2: macroscopic view of gelatinous left atrial myxoma

Hematoma after Percutaneous Transpopliteal Stenting and Remote Suturing of the Popliteal Artery

2002 ◽  
Vol 9 (5) ◽  
pp. 703-706 ◽  
Author(s):  
Saim Yilmaz ◽  
Timur Sindel ◽  
Abdullah Erdoğan ◽  
Atalay Mete ◽  
Ersin Lüleci
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Popliteal Artery ◽  
Closure Device ◽  
Puncture Site ◽  
The Right ◽  
Percutaneous Suturing

Purpose: To present a case of extensive thigh hematoma that developed after use of a percutaneous suturing device for retrograde popliteal artery puncture. Case Report: A 55-year-old woman underwent endovascular treatment for a short occlusion of the right superficial femoral artery via a retrograde popliteal approach, after which the puncture site was closed with a Closer suture-mediated device. Several hours later, massive hematoma of the right thigh developed, which was noticed only after the patient's leg became markedly swollen and hypotension developed. Conclusions: The use of a suture-mediated closure device for a retrograde popliteal artery puncture may not be recommended.

scholarly journals A Very Rare Cause of Lower Limb Ischemia in Young People: Popliteal Artery Entrapment

2018 ◽  
Vol 12 (1) ◽  
pp. 18-28 ◽  
Author(s):  
Hasan Baki Altinsoy ◽  
Ozkan Alatas ◽  
Emjed Khalil ◽  
Kenan Abdurrahman Kara ◽  
Candan Cudi Okten ◽  
...  
Keyword(s):  
Young People ◽  
Early Diagnosis ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Diagnostic Tools ◽  
Type I ◽  
Conventional Angiography ◽  
Lower Limb Ischemia ◽  
Popliteal Artery Entrapment

Background: Popliteal artery entrapment syndrome (PAES) is a very rare pathology that can cause lower extremity ischemia in healthy young people. Anomalous anatomic relationships between the popliteal artery (PA) and the surrounding musculo-tendinous structures cause PAES. We present 31 patients with PAES in 35 limbs that were treated surgically in our clinic within a 12-year period. Patients and Methods: From 2001 to 2015, 31 patients (mean age: 32 ± 7.4 years) underwent surgery for PAES. ; 4 patients presented had bilateral PAES. Doppler ultrasonography (US), magnetic resonance angiography (MRA), and conventional angiography were performed as diagnostic procedures. We detected Type I PAES in 4 limbs and Type II PAES in 12 limbs. In the remaining 19 limbs, we diagnosed Type III or Type IV PAES. Simple release of the PA, PA embolectomy and simple release, and the radial artery (RA) patch angioplasty, with or without thromboendarterectomy (TEA), were performed. In 12 limbs, PA continuity was provided by RA interposition. Results: With the exception of 5 patients, no complications were seen after surgery. Haematoma was detected in 2 patients and local infection in 2 patients. One patient required a revision for recurrent PA thromboembolic event 12 h after surgery. At a median follow- up of 23 months (range: 11-29 months), there were no postoperative complications. Conclusions: PAES can result in lower limb ischemia due to chronic vascular trauma in young healthy patients. The use of diagnostic tools such as US, a non-invasive method, and MRA are effective diagnostic tools for early diagnosis. With their combined approach, exact and early diagnosis can be achieved. PA release, alone or with arterial bypass using RA, is a viable treatment option when intervention is necessary to prevent limb loss in the early stages of the disease.

scholarly journals Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Bobak Rasouli ◽  
Kristine Pederson ◽  
Marshall F Wilkinson ◽  
Mohammad Zarrabian
Keyword(s):  
Lower Limb ◽  
Limb Ischemia ◽  
Neurophysiological Monitoring ◽  
Lower Limb Ischemia ◽  
Neurophysiologic Monitoring ◽  
Intraoperative Neurophysiologic Monitoring ◽  
Peripheral Ischemia ◽  
Metastatic Involvement ◽  
The Right ◽  
Leg Ischemia

Abstract Intraoperative neurophysiologic monitoring is a technique utilized during spinal operations to minimize sensory and motor function morbidity. We herein report a case of a 73-year-old female with renal cell carcinoma and metastatic involvement of the cervical and thoracic spine, who underwent a multilevel complex anterior and posterior operation. Neurophysiological monitoring was able to localize the lower limb ischemia utilizing somatosensory evoked potentials. This prompted intraoperative investigation of the peripheral ischemia, and the patient was found to have an Angio-Seal device embolus in the right popliteal artery that dislodged from the right femoral artery.

In the Absence of Distal Runoff, Open Thromboendarterectomy Can Save the Limb in Patients with Prolonged Lower Limb Ischemia Due to Popliteal Artery Occlusion

2009 ◽  
Vol 23 (6) ◽  
pp. 821
Author(s):  
Majid Moini ◽  
Mohammad R. Rasouli ◽  
Pedram Heidari ◽  
Golsa Sheykholeslami ◽  
Marjan Rasouli
Keyword(s):  
Popliteal Artery ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Artery Occlusion ◽  
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.

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