A Successful Treatment of Thromboembolic Ischemia in Persistent Sciatic Artery Through Surgical and Endovascular Intervention

Abstract

A 50-year-old man, presented with sudden onset of right leg coldness, numbness and pain for 1.5 months. It was found that the right superficial femoral artery was thrombosed, which ended at the mid-thigh level and a continued as the popliteal artery in magnetic resonance angiography. Persistence of the sciatic artery is extremely rare vascular anomaly. It is prone to undergo early atherosclerotic changes, occlusive embolism, and aneurysm formation. In this article we report a patient with acute artery occlusion developed in popliteal and crural arteries in a patient with persistent sciatic artery which was successfully treated through surgical and endovascular intervention.

Keywords

• Arteries; ischemia; surgery; endovascular procedures; therapeutics.

Persistant Siyatik Arterde Tromboembolik İskeminin Cerrahi ve Endovasküler Girişim ile Başarılı Tedavisi

Abstract

Elli yaşında erkek hasta, 1.5 aydır sağ bacakta ani başlayan soğukluk, hissizlik ve ağrı şikayetiyle başvurdu. Manyetik rezonans anjijyografide sağ süperfisyel femoral arterin orta uyluk seviyesinde sonlanarak popliteal arter olarak devam ettiği ve tromboze olduğu saptandı. Persistan siyatik arter çok nadir görülen vasküler bir anomalidir. Erken aterosklerotik değişiklikler, emboli ve anevrizma oluşumunda yatkınlığa neden olur. Biz bu çalışmada, popliteal ve krural arterlerinde akut arteriyel oklüzyon gelişen persistan siyatik arterli bir hastada, cerrahi ve endovasküler girişim ile başarılı bir şekilde tedavisini sunduk.

Keywords

• Arter; iskemi; cerrahi; endovasküler yöntemler; terapötik.

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