Intra-arterial Infusion of Temporary Embolic Material in a Patient with Plantar Fasciitis: A Case Report

• DOI: 10.1007/s00270-021-02908-z
• Publication Date: 2021-07-06T20:02:15Z
• Authors: Masahiko Shibuya; Eiji Sugihara; Koichi Miyazaki; Keishi Fujiwara; Takayuki Sakugawa; Yuji Okuno
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Fasciitis, Plantar; Activities of Daily Living; Humans; Infusions, Intra-Arterial; Female; Heel; Middle Aged; Pain Measurement; 3. Good health

This case report concerns a 51-year-old woman with a 6-month history of severe right heel pain diagnosed as plantar fasciitis (PF) treated with intra-arterial infusion of imipenem/cilastatin (IPM/CS) through a 24G indwelling needle directly inserted into the posterior tibial artery (PTA). Angiography of the indwelling needle immediately before the infusion of IPM/CS demonstrated an increased number of abnormal vessels at the calcaneal attachment of the plantar fascia. Two procedures were planned: The first procedure was performed, and the second was performed 1 month after the first. A week after the first treatment, her pain gradually decreased. Three months after the first treatment, she no longer had difficulties with activities of daily living. Intra-arterial infusion of IPM/CS directly through an indwelling needle into the PTA represents a minimally invasive embolic treatment option for PF.