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Journal of Case Reports
Effects of Shock Wave Therapy on a Patient with Co-Occurring Vascular Congenital Malformation and Buerger's Disease
Mario Vetrano1,3, Maurizio Taurino2,3, Flavia Santoboni1,3, Serena Michelini1,3, Andrea Ruggieri1,3, Claudia Maggiore2,3, Eleonora Latini1,3, Sveva M. Nusca1,3, Maria C. Vulpiani1,3
1Unit of Physical Medicine and Rehabilitation, Department of Medical Surgical Sciences and Translational Medicine and 2Unit of Vascular Surgery, Department of Clinical and Molecular Medicine, "Sapienza" University of Rome, Italy; 3Sant'Andrea University Hospital, Via di Grottarossa 1035, 00189 Rome, Italy.
Corresponding Author:
Dr. Flavia Santoboni 
Email: flavia.santoboni@gmail.com
Received: 04-SEP-2022 Accepted: 14-NOV-2022 Published Online: 25-MAR-2023
DOI: http://dx.doi.org/10.17659/01.2023.0008
Background: Intermittent claudication (IC) is a common symptom of Peripheral Artery Disease (PAD) mostly caused by arterial stenosis and/or occlusion in the lower extremities, typically resulting from atherosclerosis. Although less frequent, congenital vascular malformations and thromboangiitis obliterans, also known as Buerger’s disease (BD), can also cause IC, leading to progressively worsening symptoms, especially during walking. Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive treatment that has been studied for its potential to promote neovascularization and vasodilation in PAD. Case Report: We present a man with congenital bilateral deep femoral artery agenesis and concomitant BD who underwent ESWT of the leg muscles. The treatment significantly improved his walking abilities, alleviated pain, and enhanced his quality of life, which persisted even 18 months after treatment. Conclusion: Functional and clinical improvements, in addition to quality of life, suggest that ESWT could represent a promising symptomatic treatment for PAD.
Keywords : Arterial Occlusion, Intermittent Claudication, Lower Extremity, Neovascularization, Pain Management, Walking Abilities.
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