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case_images: Computed tomography images revealing arterial occlusion of the lower limb by foreign bodies (arrows). A - Transverse images of the distal thigh showing the foreign body in the superficial femoral artery. B - Transverse images showing the foreign body at the knee level. C-E - Coronary reconstructions. F, G - Sagittal reconstructions
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case_images: A duplex sonographic examination revealed suspected occlusion of the right popliteal artery by a foreign body, confirmed by computed tomography (CT) angiography showing a 4-5 cm blockage in the P2 segment with imaging suggestive of cement deposits (Figure 1).
case_images: Angiography images showing the endovascular presence of foreign bodies. A, B - Endovascular presence of foreign bodies. C-F - Occlusion of the lower leg arteries
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case_images: Attempts at endovascular removal of intravascular foreign bodies via digital substrate angiography (DSA) were unsuccessful, necessitating surgical intervention due to persistent critical ischemia (Figure 2).
case_images: A - Removal of cement material (arrow) from the popliteal artery. B - Some of the removed parts of the foreign bodies. PA - popliteal artery, ATA - anterior tibial artery, TFT - tibiofibular trunk, FA - fibular artery, PTA - posterior tibial artery.
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case_images: A longitudinal arteriotomy exposed the third popliteal segment and tibiofibular trunk, enabling removal of foreign bodies from lower leg artery branches (Figure 3).
case_images: Postoperative angiography images showing occlusion of the femorocrural bypass
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case_images: To further assess the bypass function, a DSA was performed and the femorocrural bypass was found to be occluded, probably due to poor peripheral flow (Figure 4).
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case_images: 3D reconstruction of CT images showing the presence of foreign bodies in the pulmonary artery of the right lower lobe (arrow)
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case_images: However, incidental findings revealed an old pulmonary embolism with foreign body material lodged in the right lower lobe artery, identified as cement remnants from the prior kyphoplasty procedure performed four years earlier (Figure 5).