Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm

被引:2
作者
Yang, Andrew [1 ]
Hashmi, Ammar [1 ]
Androsov, Anton [1 ]
Salzler, Gregory [1 ]
Ryer, Evan [1 ]
机构
[1] Geisinger Med Ctr, Dept Endovasc & Vasc Surg, Danville, PA 17822 USA
来源
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2020年 / 77卷
关键词
Persistent sciatic artery; Aneurysm; Endovascular; Hybrid; Bypass;
D O I
10.1016/j.ijscr.2020.11.077
中图分类号
R61 [外科手术学];
学科分类号
摘要
INTRODUCTION: Persistent sciatic artery (PSA) is a rare embryological vascular anomaly with a prevalence between 0.025-0.06%. PSA is frequently associated with aneurysmal degeneration and can result in neuropathy, thrombosis, or rupture, threatening limb and life. CASE PRESENTATION: We present a case of a 72-year-old man with an incidental finding of a right sided 4 cm PSA aneurysm with limited symptoms. The aneurysm was treated successfully with endovascular exclusion and a femoral-popliteal bypass was performed to revascularize the leg. DISCUSSION: Treatment of PSA aneurysms involve excluding the aneurysm and revascularizing the involved leg. Improvements in endovascular embolization techniques now offer new solutions in the management of these aneurysms. CONCLUSION: A high degree of clinical suspicion is required to properly diagnose and treat PSA aneurysms. Referral to a center with expertise in both open and endovascular techniques is vital to ensure good outcomes. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of BS Publishing Group Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:787 / 790
页数:4
相关论文
共 11 条
[1]   The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines [J].
Agha, Riaz A. ;
Borrelli, Mimi R. ;
Farwana, Reem ;
Koshy, Kiron ;
Fowler, Alexander J. ;
Orgill, Dennis P. ;
Zhu, Hongyi ;
Alsawadi, Abdulrahman ;
Noureldin, Ashraf ;
Rao, Ashwini ;
Enam, Ather ;
Thoma, Achilleas ;
Bashashati, Mohammad ;
Vasudevan, Baskaran ;
Beamish, Andrew ;
Challacombe, Ben ;
De Wilde, Rudy Leon ;
Machado-Aranda, David ;
Laskin, Daniel ;
Muzumdar, Dattatraya ;
D'cruz, Anil ;
Manning, Todd ;
Healy, Donagh ;
Pagano, Duilio ;
Goel, Prabudh ;
Ranganathan, Priya ;
Pai, Prathamesh S. ;
Raja, Shahzad ;
Athe, M. Hammad ;
Kadioazlu, Huseyin ;
Nixon, Iain ;
Mukherjee, Indraneil ;
Gomez Riva, Juan ;
Raveendran, Kandiah ;
Derbyshire, Laura ;
Valmasoni, Michele ;
Chalkoo, Mushtaq ;
Raison, Nicholas ;
Muensterer, Oliver ;
Bradley, Patrick ;
Roberto, Coppola ;
Afifi, Raafat ;
Rosin, David ;
Klappenbach, Roberto ;
Wynn, Rolf ;
Giordano, Salvatore ;
Basu, Somprakas ;
Surani, Salim ;
Suman, Paritosh ;
Thorat, Mangesh .
INTERNATIONAL JOURNAL OF SURGERY, 2018, 60 :132-136
[2]  
Gargiulo NJ, 2011, AM SURGEON, V77, P366
[3]  
Henry C, 2017, OCHSNER J, V17, P296
[4]  
Hudge S., 2017, INDIAN J VASC ENDOVA, V4, P69, DOI [10.4103/ijves.ijves_9_17, DOI 10.4103/IJVES.IJVES_9_17]
[5]   ANEURYSM OF BILATERAL PERSISTENT SCIATIC ARTERIES WITH ISCHEMIC COMPLICATIONS - CASE-REPORT AND REVIEW OF THE WORLD LITERATURE [J].
IKEZAWA, T ;
NAIKI, K ;
MORIURA, S ;
IKEDA, S ;
HIRAI, M .
JOURNAL OF VASCULAR SURGERY, 1994, 20 (01) :96-103
[6]   A ruptured aneurysm in persistent sciatic artery: A case report [J].
Ishida, K ;
Imamaki, M ;
Ishida, A ;
Shimura, H ;
Miyazaki, M .
JOURNAL OF VASCULAR SURGERY, 2005, 42 (03) :556-558
[7]   Role of computed tomographic angiography in the detection and comprehensive evaluation of persistent sciatic artery [J].
Jung, AY ;
Lee, W ;
Chung, JW ;
Song, SY ;
Kirn, SJ ;
Ha, J ;
Jae, HJ ;
Park, JH .
JOURNAL OF VASCULAR SURGERY, 2005, 42 (04) :678-683
[8]  
Kesri Gaurav, 2014, Case Rep Vasc Med, V2014, P183969, DOI 10.1155/2014/183969
[9]   PERSISTENT SCIATIC ARTERY - CLINICAL, EMBRYOLOGIC, AND ANGIOGRAPHIC FEATURES [J].
MANDELL, VS ;
JAQUES, PF ;
DELANY, DJ ;
OBERHEU, V .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1985, 144 (02) :245-249
[10]   The Persistent Sciatic Artery [J].
van Hooft, I. M. ;
Zeebregts, C. J. ;
van Sterkenburg, S. M. M. ;
de Vries, W. R. ;
Reijnen, M. M. P. J. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2009, 37 (05) :585-591