Endovascular Management of Rare Sciatic Artery Aneurysm

Sultan, Sherif; Pacainowski, John P.; Madhavan, Prakash; McDermott, Rónán; Molloy, Martin; Colgan, Mary-Paula; Moore, Dermot J.; Shanik, Gregor D.

doi:10.1177/152660280000700511

Cited by 28 publications

(17 citation statements)

References 10 publications

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“…3,4 Cases of successful aneurysm embolization using pushable coils have been reported. [5][6][7] However, coils are hindered by difficulty with accurate placement and the possibility of unintended embolization of proximal or distal vessels. Coiled vessels or aneurysms in other locations have also been known to recanalize after a technically successful occlusion, particularly if the target is of large caliber, is undercoiled, or the coils become compacted.…”

Section: Discussionmentioning

confidence: 99%

Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization

McEnaney

Baril

Gupta

et al. 2009

Journal of Vascular Surgery

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The presence of a persistent sciatic artery is a rare congenital vascular malformation. Complications associated with aneurysmal degeneration of this aberrant vessel include rupture, thrombosis, and embolization with obliteration of outflow vessels. We describe the case of an 82-year-old female presenting with critical limb ischemia due to embolization from a partially thrombosed persistent sciatic artery aneurysm. Successful treatment was achieved via a common femoral to posterior tibial artery bypass with the great saphenous vein and vascular plug embolization of the aneurysm.

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Section: Discussionmentioning

confidence: 99%

Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization

McEnaney

Baril

Gupta

et al. 2009

Journal of Vascular Surgery

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“…Endovascular embolization is recommended for aneurysm sac exclusion as it is a safe and effective technique that decreases the chances of sciatic nerve injury, and it is less invasive than the open ligature of the aneurysm sac. 4,[6][7][8] In the complete type, it is mandatory to do a limb revascularization with open surgery bypass-''gold standard'' treatment. The most widely used procedure is the femoropopliteal bypass with vein or graft, besides the exclusion of the PSAA.…”

Section: Discussionmentioning

confidence: 99%

“…It occurs because of repetitive trauma, predisposition of atherosclerosis, and hypoplasia of the connective tissue with less elastic elements. 3,4 The purpose of this article is to describe a case report of endovascular treatment of a complete PSA aneurysm.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Persistent of it is a rare embrionary anomaly in which the internal iliac artery and the embryonic axial artery continue to provide the major blood supply to the lower limb after birth. 3,4 The persistent sciatic artery (PSA) may be complete from its origin of the internal iliac artery to its union with the popliteal artery (the sciatic artery becomes the dominant blood supply to lower limbs and there is an hypoplastic femoral system); or incomplete so that it connects with the internal iliac artery to popliteal artery through small collaterals (the femoral system is responsible for the major arterial supply to the extremity but there is also a sciatic hypoplastic artery).…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Repair of Symptomatic Sciatic Artery Aneurysm

Oliveira

Mourão

2010

Vasc Endovascular Surg

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“…Esta anomalía anatómica puede permanecer asintomática durante muchos años, sin embargo, se describió por primera vez un aneurisma de este vaso con desenlace fatal en 1864 5 . Posteriormente se ha observado la degeneración aneurismática de la ACP a nivel glúteo, trombosis del aneurisma y embolización distal, con cuadros de isquemia aguda secundaria de la extremidad, y con menor frecuencia, se han informado síntomas por compresión del nervio ciático 3,[5][6][7][8][9][10][11] . Se reporta el caso de una paciente de 71 años, que presenta un aneurisma verdadero parcialmente trombosado en una ACP tratada en el Servicio de Cirugía del Hospital Dr. Eduardo Pereira de Valparaíso.…”

Section: Introductionunclassified

Aneurisma verdadero en arteria ciática persistente: Caso clínico

G³

et al. 2010

Rev Chil Cir

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Persistent sciatic artery aneurysm. A case reportWe report the case of a 71 years old female patient, who had a partially thrombosed true aneurysm in a persistent sciatic artery (PSA), treated in the Surgery Department of Hospital Dr. Eduardo Pereira of Valparaíso. The sciatic artery arises from the umbilical artery and during early embryological state is the main blood supply of the lower limbs. Later, the superfi cial femoral artery appears with the subsequent progressive involution of the sciatic artery. PSA is a rare congenital vascular anomaly that occurs when sciatic artery fails to regress during fetal development. This is associated with superfi cial femoral artery hipoplasia and the PSA becomes the dominant arterial infl ow to the lower limb. This anatomic abnormality may be bilateral and can remain asymptomatic for many years, however, it has been described aneurysmal degeneration, like in this case, symptoms of sciatic nerve compression, aneurysm thrombosis and distal embolization.Key words: Persistent sciatic artery, aneurysm, surgical treatment. ResumenSe reporta el caso de una paciente de 71 años, que presenta un aneurisma verdadero, parcialmente trombosado, en una Arteria Ciática Persistente (ACP), tratada en el Servicio de Cirugía del Hospital Dr. Eduardo Pereira de Valparaíso. La arteria ciática se origina en la arteria umbilical y durante las primeras fases embriológicas es el principal aporte sanguíneo de la extremidad inferior. Posteriormente aparece la arteria femoral superfi cial y se produce la progresiva involución de la arteria ciática. La ACP constituye una rara anomalía y ocurre por la falta de desarrollo de la arteria femoral superfi cial. La ACP se origina en el adulto en la arteria hipogástrica, transcurre hacia la región glútea a través de la escotadura ciática y sigue hacia distal por la parte posterior del muslo continuándose después con la arteria poplítea. Se acompaña de un variable menor desarrollo del eje arterial anterior de la arteria ilíaca externa y femoral superfi cial. Esta anomalía anatómica puede ser bilateral y puede permanecer asintomática durante muchos años, sin embargo, se ha descrito la degeneración aneurismática, como en este caso, y síntomas por compresión del nervio ciático, trombosis del aneurisma y embolización distal.Palabras clave: Arteria ciática persistente, aneurisma, tratamiento quirúrgico.

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Endovascular Management of Rare Sciatic Artery Aneurysm

Cited by 28 publications

References 10 publications

Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization

Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization

Endovascular Repair of Symptomatic Sciatic Artery Aneurysm

Aneurisma verdadero en arteria ciática persistente: Caso clínico

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