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

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 cas...

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Detalles Bibliográficos
Autores principales: Yang, Andrew, Hashmi, Ammar, Androsov, Anton, Salzler, Gregory, Ryer, Evan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718314/
https://www.ncbi.nlm.nih.gov/pubmed/33395896
http://dx.doi.org/10.1016/j.ijscr.2020.11.077
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author Yang, Andrew
Hashmi, Ammar
Androsov, Anton
Salzler, Gregory
Ryer, Evan
author_facet Yang, Andrew
Hashmi, Ammar
Androsov, Anton
Salzler, Gregory
Ryer, Evan
author_sort Yang, Andrew
collection PubMed
description 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.
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spelling pubmed-77183142020-12-09 Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm Yang, Andrew Hashmi, Ammar Androsov, Anton Salzler, Gregory Ryer, Evan Int J Surg Case Rep Case Report 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. Elsevier 2020-11-19 /pmc/articles/PMC7718314/ /pubmed/33395896 http://dx.doi.org/10.1016/j.ijscr.2020.11.077 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Yang, Andrew
Hashmi, Ammar
Androsov, Anton
Salzler, Gregory
Ryer, Evan
Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title_full Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title_fullStr Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title_full_unstemmed Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title_short Case report: Hybrid approach in the management of a complete persistent sciatic artery aneurysm
title_sort case report: hybrid approach in the management of a complete persistent sciatic artery aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718314/
https://www.ncbi.nlm.nih.gov/pubmed/33395896
http://dx.doi.org/10.1016/j.ijscr.2020.11.077
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