Monomelic Ischemic Neuropathy of the Tibial and Peroneal Nerve After Onyx Embolization of Vasa Nervorum Supplying a Surgically Excluded Popliteal Artery Aneurysm

Arash Najafi; Philippe Aubert; Christoph Binkert

doi:10.1007/s00270-019-02217-6

Monomelic Ischemic Neuropathy of the Tibial and Peroneal Nerve After Onyx Embolization of Vasa Nervorum Supplying a Surgically Excluded Popliteal Artery Aneurysm

Cardiovasc Intervent Radiol. 2019 Jul;42(7):1041-1044. doi: 10.1007/s00270-019-02217-6. Epub 2019 Apr 8.

Authors

Arash Najafi¹, Philippe Aubert², Christoph Binkert²

Affiliations

¹ Department of Radiology and Nuclear Medicine, Canton Hospital Winterthur, 8401, Winterthur, Switzerland. najafi.arash@gmail.com.
² Department of Radiology and Nuclear Medicine, Canton Hospital Winterthur, 8401, Winterthur, Switzerland.

PMID: 30963192
DOI: 10.1007/s00270-019-02217-6

Abstract

Ischemic neuropathy is an exceedingly rare complication after peripheral artery embolization. We report a case of ischemic damage to the tibial and peroneal nerve after embolization of the vasa nervorum that served as feeding collaterals to a surgically excluded popliteal artery aneurysm.

Keywords: Embolization; Ischemic neuropathy; Nerve ischemia; Popliteal artery aneurysm; Vasa nervorum.

Publication types

Case Reports

MeSH terms

Aneurysm / therapy*
Dimethyl Sulfoxide / administration & dosage
Embolization, Therapeutic / adverse effects*
Embolization, Therapeutic / methods
Humans
Male
Middle Aged
Peroneal Neuropathies / etiology*
Peroneal Neuropathies / therapy
Physical Therapy Modalities
Polyvinyls / administration & dosage
Popliteal Artery / surgery*
Tantalum / administration & dosage
Tibial Neuropathy / etiology*
Tibial Neuropathy / therapy
Tomography, X-Ray Computed
Vasa Nervorum / physiopathology*

Substances

Onyx 34
Polyvinyls
Tantalum
Dimethyl Sulfoxide