case_images: PMC10629288_01
case_images: Preoperative imaging. Preoperative lumbar imaging demonstrating prior bilateral L5 laminectomy and L5-S1 disc space narrowing (white arrow). (a) is a sagittal T2-weighted magnetic resonance imaging (MRI) and (b) is a sagittal T1-weighted MRI. (c and d) are sagittal lumbar computed tomography images.
case_images: SNI-14-374-g001.jpg
case_images: PMC10629288_01_SNI-14-374-g001.jpg
case_images: F1
case_images: X-rays, computed tomography (CT), and magnetic resonance imaging (MRI) showed evidence of her prior bilateral L5 laminectomy and L5-S1 disc space narrowing [Figures 1a-d].
case_images: Embolectomy of the left iliac artery. The figure demonstrates the embolectomy performed on the left iliac artery.
case_images: SNI-14-374-g002.jpg
case_images: PMC10629288_01_SNI-14-374-g002.jpg
case_images: F2
case_images: However, physical examination demonstrated a slightly cool left foot, and after the arterial Doppler and pulse oximeter both confirmed weak pulse in the left lower extremity (i.e., likely attributed to arterial retraction injury), the vascular surgeon performed a left iliac artery embolectomy [Figure 2] using a Fogarty catheter [Figure 3].
case_images: Fogarty catheter. The figure demonstrates the Fogarty catheter used to remove the thrombus.
case_images: SNI-14-374-g003.jpg
case_images: PMC10629288_01_SNI-14-374-g003.jpg
case_images: F3
case_images: However, physical examination demonstrated a slightly cool left foot, and after the arterial Doppler and pulse oximeter both confirmed weak pulse in the left lower extremity (i.e., likely attributed to arterial retraction injury), the vascular surgeon performed a left iliac artery embolectomy [Figure 2] using a Fogarty catheter [Figure 3].
case_images: Thrombus located in the left iliac artery. The figure demonstrated the thrombus located in the left iliac artery, leading to decreased flow in the distal external iliac artery.
case_images: SNI-14-374-g004.jpg
case_images: PMC10629288_01_SNI-14-374-g004.jpg
case_images: F4
case_images: A clot was removed from within the left iliac artery [Figure 4], and flow was quickly restored.
case_images: Postoperative imaging. (a and b) are postoperative sagittal lumbar images demonstrating solid fusion at L5-S1 (white arrow).
case_images: SNI-14-374-g005.jpg
case_images: PMC10629288_01_SNI-14-374-g005.jpg
case_images: F5
case_images: Three months later, she was asymptomatic, and imaging revealed solid fusion at the L5-S1 level [Figure 5].