title: Angioplasty of the Occluded Persistent Sciatic Artery Using the Retrograde Approach from Superficial Femoral Artery.
abstract: Persistent sciatic artery is a rare developmental anomaly prone to atherosclerotic disease. We present a case of successful endovascular therapy for left persistent sciatic artery that was occluded at the distal site. The angioplasty was performed with both antegrade approach from contralateral common femoral artery and retrograde approach from ipsilateral superficial femoral artery. The guidewire was advanced via collateral channel and crossed through the lesion retrogradely. Rendez-vous technique was performed, and the lesion was successfully dilated by balloon inflation. Angioplasty of occluded sciatic artery can be performed successfully and effectively using the collateral channel.
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Ryuta
authors.initials: R
authors.lastname: Sugihara
authors.affiliation: Cardiovascular Division, Osaka National Hospital, Osaka, Japan. Electronic address: yellowplaque@gmail.com.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Ueda
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Nishimoto
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Takahashi
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Nakano
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Higuchi
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Kashiwase
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Akio
authors.initials: A
authors.lastname: Hirata
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Takeda
authors.affiliation: Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yasumura
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000379:methods*; D001158:Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D003097:Collateral Circulation; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D008297:Male; D011677:Punctures; D012039:Regional Blood Flow; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*