The ischiopopliteal arterial trunk

Pillet, J.; Cronier, P.; Mercier, Ph.; Chevalier, J. M.

doi:10.1007/bf01798943

Cited by 33 publications

(15 citation statements)

References 13 publications

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“…The superficial femoral arteries were hypoplastic, and tapered gradually, ending as small branches at the distal thighs. It was diagnosed as PSA (with aneurysm), type IIa, according to Pillet [16]. …”

Section: Case Reportmentioning

confidence: 99%

A case of bilateral persistent sciatic artery with unilateral aneurysm: An 18-year period of graft patency after excision of aneurysm

2012

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SummaryBackgroundA persistent sciatic artery (PSA) is a rare vascular anomaly with an estimated incidence of 0.02–0.04% and with a high rate of complications such as aneurysm formation, thromboembolism, and ischemia, that may lead to amputation.Case ReportWe present a case of a female patient with complete symptomatic ambilateral PSA and with unilateral aneurysm. The aneurysm was excised and the PTFE graft was interposed at the aneurismal sac (femoro-popliteal bypass could not be performed because of the high degree hypoplasia of the superficial femoral artery). The graft endured continuous compression and stretching during regular daily life of the patient. At check-up 18 years after the operation, the Doppler ultrasound showed a patent graft and no new aneurismal dilatation of the sciatic artery.ConclusionsTo our knowledge the follow-up of the presented case is the longest reported so far in the literature. The uneventful course of the patient confirms that classical aneurysmectomy still constitutes one of the treatment options of PSA aneurysm.

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Section: Case Reportmentioning

confidence: 99%

A case of bilateral persistent sciatic artery with unilateral aneurysm: An 18-year period of graft patency after excision of aneurysm

2012

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“…The classification of PSAs established by Pillet et al (and modified by Gauffre et al) was based on lower-limb blood flow 5 , 6 ) and is useful for understanding clinical conditions and selecting a therapeutic strategy, as stated in many previous reports 2 ) ( Fig. 3 ).…”

Section: Discussionmentioning

confidence: 99%

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

Fukuda

Onitsuka

Yoshida

et al. 2017

Annals of Vascular Diseases

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Persistent sciatic artery (PSA) is a rare anomaly that may cause various symptoms, such as aneurysm, rupture, thromboembolism, and sciatica. Direct surgery can be performed to treat PSA aneurysm (PSAA), but is associated with complications; e.g., anatomical problems such as sciatic nerve injury. Herein we report a case of a 74-year-old woman with acute limb ischemia that developed from a distal embolism caused by a thrombus in the left PSAA; favorable results were obtained for her by treatment with a stent-graft after rapid anticoagulation therapy for limb salvage.

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“…Different classifications have been proposed in the literature. 2 , 3 Bower et al 2 distinguished the complete from the incomplete PSA. In our case, it was the complete form characterized by the PSA as the dominant blood supply to the lower leg associated with a hypoplastic superficial femoral artery.…”

Section: Discussionmentioning

confidence: 99%

Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm

Feer¹,

Stierli²,

Haller

et al. 2017

Journal of Vascular Surgery Cases, Innovations and Techniques

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We present a novel surgical technique for lower limb revascularization after resection of an aneurysm of the persistent sciatic artery that had led to recurrent peripheral embolization and severe ischemia. The superficial femoral artery in this patient was hypoplastic, and the sciatic artery continued into the popliteal artery as the source of blood supply to the lower leg. For revascularization, we used the distally pedicled healthy two-thirds of the persistent sciatic artery, transposed it from its posterior position to a nearly anatomic anteromedial position, and anastomosed it to the proximal superficial femoral artery.

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The ischiopopliteal arterial trunk

Cited by 33 publications

References 13 publications

A case of bilateral persistent sciatic artery with unilateral aneurysm: An 18-year period of graft patency after excision of aneurysm

A case of bilateral persistent sciatic artery with unilateral aneurysm: An 18-year period of graft patency after excision of aneurysm

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm

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