Case report: Endovascular treatment of acute limb ischemia in an adolescent with newly diagnosed lupus

Lu-Hang Liu; Ming-Dar Lee; Ting-Huan Huang; Szu-Hung Chu; Mu-Yang Hsieh

doi:10.3389/fcvm.2023.1152929

Case report: Endovascular treatment of acute limb ischemia in an adolescent with newly diagnosed lupus

Front Cardiovasc Med. 2023 May 30:10:1152929. doi: 10.3389/fcvm.2023.1152929. eCollection 2023.

Authors

Lu-Hang Liu¹, Ming-Dar Lee², Ting-Huan Huang³, Szu-Hung Chu⁴, Mu-Yang Hsieh^{5

6}

Affiliations

¹ Division of Cardiology, Department of Pediatrics, Mackay Memorial Hospital, Hsin-Chu, Taiwan.
² Division of Nephrology, Department of Pediatrics, Mackay Memorial Hospital, Hsin-Chu, Taiwan.
³ Division of Hematology, Department of Pediatrics, Mackay Memorial Hospital, Hsin-Chu, Taiwan.
⁴ Division of Immunology, Department of Pediatrics, Mackay Memorial Hospital, Hsin-Chu, Taiwan.
⁵ Cardiovascular Center, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.
⁶ Department of Biological Science and Technology, National Yang Ming Chiao Tung University, Hsin-Chu, Taiwan.

Abstract

We report a 14-year-old adolescent who presented with acute limb ischemia caused by systemic lupus erythematosus-related antiphospholipid syndrome (APS). In the pediatric population, acute limb ischemia is rare. This case is unique in that after the initial medical treatment failed, interventional devices for acute stroke intervention were utilized to salvage the limb in our patient with a small tibial artery vessel to achieve procedural success. To provide limb salvage, operators may combine peripheral and neuro-intervention devices to maximize procedure success.

Keywords: acute limb ischemia; adolecent; antiphospholipid syndrome; case report; peripheral artery disease; systemic lupus erythematosus.

Publication types

Case Reports