PMC5990260_01
Angiotomografia em corte axial evidenciando o diametro (37,9 x 33,6 mm) do aneurisma da arteria isquiatica persistente.
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The left PSA was dilated, with fusiform aneurysm and mural thrombus, with a largest diameter of 3.7 x 3.3 cm and an extension of 6.4 cm (Figures 1 and 2).
Angiotomografia evidenciando persistencia bilateral da arteria isquiatica com formacao aneurismatica a esquerda: imagens de reconstrucao na visao anterior (A), posterior (B) e lateral (C).
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The left PSA was dilated, with fusiform aneurysm and mural thrombus, with a largest diameter of 3.7 x 3.3 cm and an extension of 6.4 cm (Figures 1 and 2).
Angiorressonancia: hipoplasia de arterias femorais superficiais e profundas (A) e arterias isquiaticas dando origem as arterias popliteas, o que caracteriza a forma completa de persistencia da arteria isquiatica bilateralmente. Dilatacao aneurismatica fusiforme da arteria isquiatica persistente a esquerda (B).
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The infragenicular arteries were patent with normal calibers (Figure 3).
Tratamento endovascular do aneurisma da arteria isquiatica persistente a esquerda: (A) angiografia atraves de acesso contralateral pela arteria femoral comum direita; (B) e (C) posicionamento do primeiro stent revestido (distal) 13 x 10 mm. (D) posicionamento do segundo stent revestido (proximal) 11 x 10 mm.
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Endovascular treatment of the PSA aneurysm was initiated via a contralateral access through the right common femoral artery with implantation of the distal covered stent (13 x 10 mm), followed by implantation of the proximal covered stent (11 x 10 mm), with good final appearance (Figures 4 and 5).
Tratamento endovascular do aneurisma da arteria isquiatica persistente: (E) balonamento proximal, distal e em conexao dos stents revestidos com balao 12 x 60 mm; (F) e (G) angiografia de controle evidenciando exclusao do aneurisma e ausencia de vazamento; (H) angiografia de arteria isquiatica distalmente ao tratamento do aneurisma mostrando perviedade.
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Endovascular treatment of the PSA aneurysm was initiated via a contralateral access through the right common femoral artery with implantation of the distal covered stent (13 x 10 mm), followed by implantation of the proximal covered stent (11 x 10 mm), with good final appearance (Figures 4 and 5).
(A) Angiotomografia realizada apos o tratamento endovascular, com reconstrucao tridimensional em anteroposterior, mostrando stents revestidos na arteria isquiatica persistente pervios e sem vazamentos; (B) corte axial da angiotomografia evidenciando regressao completa da dilatacao aneurismatica na arteria isquiatica persistente esquerda.
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During this period, a control angiotomography was conducted, showing that the covered stents were patent and free from leaks, with complete regression of the aneurysmal dilatation of the left PSA (Figure 6).