Die Arteria ischiadica Eine seltene Gefäßvariante

Pirker, Eva Ulrike; Schmidberger, Heinz

doi:10.1055/s-0029-1229310

Cited by 31 publications

(11 citation statements)

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“…The largest clinical review of this condition was carried out by Ikezawa et al in 1994 who reported an occurrence of 168 cases throughout the literature [ 5 ]. Throughout the literature the incidence of PSA has been estimated to be as low as 0.025–0.04% [ 6 ]. A tendency for aneurysm formation has been noted in 14.3–44% of such cases [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Persistent Sciatic Artery Aneurysm with Lower Limb Ischemia

Kesri

Mangtani

Kumar

et al. 2014

Case Reports in Vascular Medicine

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Persistent sciatic artery is a very rare clinical entity. Those of us who have not seen the lesion regard this as a condition which is described in the literature through less than 200 cases. We report, here, a case of a 60-year-old female who presented to the surgical outdoor with complaints of a pulsatile gluteal swelling associated with ischemic changes in the ipsilateral lower limb. On Doppler and CT angiographic analysis, the patient was determined as having persistent sciatic artery aneurysm which was then managed by a combined surgical and endovascular approach. Ours is probably the first such case to be reported from India. The objective of this case report is to highlight the relevant embryology, the pathognomonic presenting features, the diagnostic dilemma, management, and complications associated with a case of persistent sciatic artery (PSA).

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Section: Introductionmentioning

confidence: 99%

Persistent Sciatic Artery Aneurysm with Lower Limb Ischemia

Kesri

Mangtani

Kumar

et al. 2014

Case Reports in Vascular Medicine

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“…[2][3][4] Aneurysms are present in about 46% of these patients.' Several cases have also been reported of coagulopathy complicating aneurysms,6-8 but not with sciatic aneurysms.…”

Section: Introductionmentioning

confidence: 99%

Anemia, Coagulopathy, and Acute Leg Ischemia: Unusual Complications of a Persistent Sciatic Artery Aneurysm

et al. 1997

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In the event of a developmental abnormality of the vascular system of the lower limb in which the femoral system fails to develop or the axial artery fails to involute, the main vascular supply to the leg will be through a persistent sciatic artery (PSA). With an incidence of less than 0.04%, PSA can be asymptomatic, but in about half the cases an aneurysmal dilatation can ensue, and its symptomatology may include a painful gluteal mass. Cases have been reported of coagulopathy, anemia, or acute ischemia complicating PSA aneurysm. The case presented here is a clinical constellation of all three components appearing together in a patient who had long been investigated for anemia and had been operated on for a bleeding duodenal ulcer (as a consequence of coagulopathy) in a different center. At hospitalization, the gluteal mass was noted on examination, and angiography showed a huge PSA aneurysm. The clinical presentation and management of this case are discussed in light of the current literature.

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“…We report two additional cases and refer to the previous cases in the literature with special attention to the 15 cases (including ours) that were studied angiographically [6][7][8][9][10][11][12][13][14][15][16].…”

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confidence: 99%