Persistent Sciatic Artery Aneurysm Research Articles

Femoropopliteal Bypass With Interval Coil and Gelfoam Embolization for Persistent Sciatic Artery Aneurysm Presenting as Acute Limb Ischemia

Femoropopliteal Bypass With Interval Coil and Gelfoam Embolization for Persistent Sciatic Artery Aneurysm Presenting as Acute Limb Ischemia

Intraluminal Treatment for Persistent Sciatic Artery Aneurysm with VIABAHN

Intraluminal Treatment for Persistent Sciatic Artery Aneurysm with VIABAHN

Catheter-Directed Thrombolysis for Persistent Sciatic Artery Presenting with Acute Limb Ischemia

Persistent sciatic artery (PSA) is a rare congenital peripheral artery disorder that is usually detected incidentally on computed tomographic examination. PSA can also cause iliac aneurysm and acute thromboembolism, which are potentially associated with rest pain, claudication, and limb-threatening ischemia. Patients with PSA and leg ischemia should be treated with revascularization and appropriate management of PSA aneurysm. The authors often choose emergent bypass surgery or endovascular intervention for aneurysmal rupture and acute lower-extremity arterial occlusion. This report describes an emergency procedure using catheter-based thrombolysis for acute limb ischemia in a patient with PSA.

Persistent Sciatic Artery Aneurysm: Cases Series and Review of Literatures

Persistent Sciatic Artery Aneurysm: Cases Series and Review of Literatures

Persistent Sciatic Artery Aneurysm as a Rare Cause of Acute Lower Limb Ischemia.

Persistent Sciatic Artery Aneurysm as a Rare Cause of Acute Lower Limb Ischemia.

A Case of Persistent Sciatic Artery Aneurysm Resected through a Buttock Approach after Femoro-popliteal Arterial Bypass

A Case of Persistent Sciatic Artery Aneurysm Resected through a Buttock Approach after Femoro-popliteal Arterial Bypass

An Infected Massive Persistent Sciatic Artery Aneurysm Treated by an Aneurysmal Incision and Drainage after Angiographic Embolization.

A man in his 80s undergoing chronic hemodialysis presented with a high fever. A 10-cm soft mass was palpable in his right buttock. Abdominal computed tomography and angiography showed an incomplete-type unilateral persistent sciatic artery aneurysm (PSAA) with gas patterns and a blood flow through the aneurysm. Incision drainage was performed after arterial embolization. Gram staining of the hematoma showed gram-positive cocci that had formed chains, thus leading to a diagnosis of an infected PSAA. Drainage by incision after arterial embolization was used as the therapeutic method of choice for a massive infected PSAA with a sustained blood flow in order to prevent sciatic nerve injury and bleeding associated with PSAA resection.

A Case of Persistent Sciatic Artery Aneurysm with Distal Embolization Treated by Endovascular Treatment

A Case of Persistent Sciatic Artery Aneurysm with Distal Embolization Treated by Endovascular Treatment

Ten-year follow-up of direct interposition graft repair of persistent sciatic artery aneurysm.

A 58-year-old woman had presented with a pulsatile swelling in the left gluteal region and pain in the limb on the same side in 2010. Magnetic resonance angiography was performed, which revealed a type 2 persistent sciatic artery (PSA) with an aneurysm in the gluteal region (A). She underwent direct endoaneurysmorrhaphy with an interposition polytetrafluoroethylene (PTFE) graft through a posterior gluteal approach. The patient was placed in the lateral decubitus position, and the aneurysm sac was approached after dividing the overlying gluteal muscles.

Hybrid treatment of a persistent sciatic artery aneurysm

Hybrid treatment of a persistent sciatic artery aneurysm

The persistent sciatic artery aneurysm a cause of recurrent limb ischemia – A rare case report

A persistent sciatic artery (PSA) is a rare vascular anomaly. It can cause complications, including acute and chronic limb ischemia, aneurysm formation, and compression of adjacent tissues during early embryonic development, the sciatic artery usually disappears when the superficial femoral artery has developed properly. PSA is usually an incidental finding and is exceedingly rare to find bilaterally. We are presenting a rare case of unilateral PSA aneurysm presented as an episode of recurrent acutely ischemic limb.

Endovascular Repair of a Complicated Persistent Sciatic Artery Aneurysm

Endovascular Repair of a Complicated Persistent Sciatic Artery Aneurysm

Endovascular Treatment of Persistent Sciatic Artery Aneurysms With Primary Stenting: A Systematic Review of the Literature.

Persistent sciatic artery (PSA) is an embryologic remnant of the internal iliac artery, and when is present, it undergoes aneurysmal degeneration in up to 60% of the cases. Endovascular repair is an increasingly utilized treatment strategy for PSA aneurysms (PSAAs). The objective was to demonstrate the safety and efficacy of the endovascular repair in patients with PSAA and to identify potential risk factors for loss of patency or limb loss. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and eligible studies were identified through search of the PubMed, Scopus, and Cochrane Central databases. Fifteen case reports, comprising 15 patients overall, were included. The median age of the patients was 68 years old (mean age 66 ± 13.4 years) with half of the reported patients being women. Most patients presented with progressive limb claudication, complaining about an enlarging palpable pulsatile buttock mass. The onset of symptoms was sudden in 78% of the reported cases. Additionally, the distal pulses on PSAA side were diminished or absent in 91% of the patients. Acute limb ischemia was the primary diagnosis in 75% of the cases. All patients underwent endovascular repair of the PSAA with a covered stent. Procedural outcomes were favorable in all patients demonstrating no symptoms recurrence, aneurysmal regression, or total obliteration evaluated by angiographic studies (computed tomography angiography [CTA] and angiogram). Periprocedural imaging evaluation was determined either with CTA or duplex ultrasound (DUS). Periprocedural complications included only 1 endoleak with distal dissection. This endoleak was identified after stent deployment and dissection distal to the aneurysm. Mean follow-up (with CTA and/or DUS) was 22 months, with all patients being asymptomatic with no recurrence of symptom. The endovascular treatment of PSAA with covered stent is safe and effective. Persistent sciatic artery aneurysms is associated with high procedural success, low periprocedural compilations, and favorable mid-term follow-up.

A Trauma-induced Rupture of Persistent Sciatic Artery Aneurysm: A Case Report and Review of Literature

A Trauma-induced Rupture of Persistent Sciatic Artery Aneurysm: A Case Report and Review of Literature

LEA 20. Aneurysm of Persistent Sciatic Artery With Acute Lower Limb Ischemia—Hybrid Approach in Management

LEA 20. Aneurysm of Persistent Sciatic Artery With Acute Lower Limb Ischemia—Hybrid Approach in Management

Persistent Sciatic Artery Aneurysm with Lower Extremity Neuropathy

Persistent Sciatic Artery Aneurysm with Lower Extremity Neuropathy

Persistent sciatic artery aneurysm: A rare cause of acute limb ischemia

Persistent sciatic artery (PSA) is a rare but pertinent clinical entity that may pose a threat to the viability of the lower extremity. The incidence of PSA has been estimated to be between 0.01% and 0.05%. PSAs are prone to high incidence of aneurysm formation, thrombosis, distal embolization, and rupture. Early detection of a PSA as the main vascular supply to the lower limb helps in early surgery and avoids potential severe complications such as limb ischemia. We report a case of a female patient who was diagnosed with a case of lumbar disc compression and sciatica but had a PSA aneurysm with thrombosis and distal embolization leading to acute limb ischemia.

Persistent sciatic artery aneurysm as a rare cause of radiculopathy

Joint Bone Spine - In Press.Proof corrected by the author Available online since mercredi 10 mai 2017

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm.

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.

A Hybrid Approach in the Treatment of Persistent Sciatic Artery Aneurysms

A Hybrid Approach in the Treatment of Persistent Sciatic Artery Aneurysms