A hybrid approach to persistent sciatic artery fusiform aneurysm repair

A persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 9; no. 4; p. 101280
Main Authors Choi, Min H., Mukherjee, Turna J., Choi, Cuepil, Fatima, Javairiah, Akbari, Cameron M.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2023
Elsevier
Subjects
Aneurysm
Embolization
Endovascular repair
Open bypass
Sciatic artery
Embolization
Open bypass
Sciatic artery
Aneurysm
Endovascular repair
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Summary:A persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report a case of a symptomatic unilateral persistent sciatic artery fusiform aneurysm that was treated using a simultaneous open surgical and endovascular approach. The patient underwent right common femoral to below-knee popliteal artery bypass and percutaneous endovascular embolization of the right sciatic artery aneurysm. Proper surgical intervention determined by the patient's comorbidities and unique anatomy achieved favorable outcomes.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101280