Endovascular Management of a Large Persistent Sciatic Artery Aneurysm

Tazo S Inui; Andrew C Picel; Andrew Barleben; John S Lane

doi:10.1016/j.avsg.2018.03.003

Endovascular Management of a Large Persistent Sciatic Artery Aneurysm

Ann Vasc Surg. 2018 Oct:52:312.e13-312.e16. doi: 10.1016/j.avsg.2018.03.003. Epub 2018 Jun 25.

Authors

Tazo S Inui¹, Andrew C Picel², Andrew Barleben³, John S Lane³

Affiliations

¹ Department of Surgery, Division of Vascular and Endovascular Surgery, University of California, San Diego, San Diego, CA. Electronic address: tazo.s.inui@kp.org.
² Department of Radiology, University of California, San Diego, San Diego, CA.
³ Department of Surgery, Division of Vascular and Endovascular Surgery, University of California, San Diego, San Diego, CA.

PMID: 29772318
DOI: 10.1016/j.avsg.2018.03.003

Abstract

The persistent sciatic artery (PSA) is a remnant of the fetal circulatory system that is preserved in less than 0.1% of the population. Up to 60% of patients with this vascular anomaly will go on to development of a PSA aneurysm (PSAA), which can produce a variety of symptoms including neuropathy, claudication, and acute limb-threatening ischemia. Historical management is by open operation and interposition grafting, which can be highly morbid. We describe successful management of a large, symptomatic PSAA by endovascular stent grafting with intermediate term follow-up.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm / diagnostic imaging
Aneurysm / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Computed Tomography Angiography
Endovascular Procedures / instrumentation
Female
Humans
Stents
Treatment Outcome
Umbilical Arteries / abnormalities
Umbilical Arteries / diagnostic imaging
Umbilical Arteries / surgery*