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.
References
- Green PH. On a new variety of the femoral artery. Lancet 1832;1:730-2.
- Jung AY, Lee W, Chung JW, Song SY, Kim SJ, Ha J, et al. Role of computed tomographic angiography in the detection and comp- rehensive evaluation of persistent sciatic artery. J Vasc Surg 2005;42:678-83.
- Martin KW, Hyde GL, McCready RA, Hull DA. Sciatic artery ane- urysms: report of three cases and review of the literature. J Vasc Surg 1986;4:365-71.
- Williams LR, Flanigan DP, O’Connor RJ, Schuler JJ. Persistent sciatic artery. Clinical aspects and operative management. Am J Surg 1983;145:687-93.
- Ikezawa T, Naiki K, Moriura S, Ikeda S, Hirai M. Aneurysm of bila- teral persistent sciatic arteries with ischemic complications: case report and review of the world literature. J Vasc Surg 1994;20:96- 103.
- Shutze WP, Garrett WV, Smith BL. Persistent sciatic artery: collec- tive review and management. Ann Vasc Surg 1993;7:303-10.
- Van Hooft IM, Zeebregts CJ, van Sterkenburg SM, de Vries WR, Reijnen MM. The persistent sciatic artery. Eur J Vasc Endovasc Surg 2009;37:585-91.
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.
References
- Green PH. On a new variety of the femoral artery. Lancet 1832;1:730-2.
- Jung AY, Lee W, Chung JW, Song SY, Kim SJ, Ha J, et al. Role of computed tomographic angiography in the detection and comp- rehensive evaluation of persistent sciatic artery. J Vasc Surg 2005;42:678-83.
- Martin KW, Hyde GL, McCready RA, Hull DA. Sciatic artery ane- urysms: report of three cases and review of the literature. J Vasc Surg 1986;4:365-71.
- Williams LR, Flanigan DP, O’Connor RJ, Schuler JJ. Persistent sciatic artery. Clinical aspects and operative management. Am J Surg 1983;145:687-93.
- Ikezawa T, Naiki K, Moriura S, Ikeda S, Hirai M. Aneurysm of bila- teral persistent sciatic arteries with ischemic complications: case report and review of the world literature. J Vasc Surg 1994;20:96- 103.
- Shutze WP, Garrett WV, Smith BL. Persistent sciatic artery: collec- tive review and management. Ann Vasc Surg 1993;7:303-10.
- Van Hooft IM, Zeebregts CJ, van Sterkenburg SM, de Vries WR, Reijnen MM. The persistent sciatic artery. Eur J Vasc Endovasc Surg 2009;37:585-91.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | March 1, 2011 |
| Published in Issue | Year 2012 Volume: 15 Issue: 3 |