A hybrid approach to persistent sciatic artery fusiform aneurysm repair

A persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report...

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Main Authors: Min H. Choi, MD, Turna J. Mukherjee, MD, Cuepil Choi, BS, Javairiah Fatima, MD, Cameron M. Akbari, MD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723001892
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author Min H. Choi, MD
Turna J. Mukherjee, MD
Cuepil Choi, BS
Javairiah Fatima, MD
Cameron M. Akbari, MD
author_facet Min H. Choi, MD
Turna J. Mukherjee, MD
Cuepil Choi, BS
Javairiah Fatima, MD
Cameron M. Akbari, MD
author_sort Min H. Choi, MD
collection DOAJ
description A persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report a case of a symptomatic unilateral persistent sciatic artery fusiform aneurysm that was treated using a simultaneous open surgical and endovascular approach. The patient underwent right common femoral to below-knee popliteal artery bypass and percutaneous endovascular embolization of the right sciatic artery aneurysm. Proper surgical intervention determined by the patient's comorbidities and unique anatomy achieved favorable outcomes.
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spelling doaj.art-78615f611fa24953a4cb27a90cec49262023-12-20T07:35:08ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-12-0194101280A hybrid approach to persistent sciatic artery fusiform aneurysm repairMin H. Choi, MD0Turna J. Mukherjee, MD1Cuepil Choi, BS2Javairiah Fatima, MD3Cameron M. Akbari, MD4MedStar Heart and Vascular Institute, Department of Vascular Surgery, MedStar Washington Hospital Center, Washington, DC; Correspondence: Min H. Choi, MD, MedStar Heart and Vascular Institute, Department of Vascular Surgery, MedStar Washington Hospital Center, 106 Irving St NW, PO Box N 3150, Washington, DC 20010MedStar Heart and Vascular Institute, Department of Vascular Surgery, MedStar Washington Hospital Center, Washington, DCGeorgetown University School of Medicine, Washington, DCMedStar Heart and Vascular Institute, Department of Vascular Surgery, MedStar Washington Hospital Center, Washington, DCDepartment of Vascular Surgery, MedStar Georgetown University Hospital, Washington, DCA persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report a case of a symptomatic unilateral persistent sciatic artery fusiform aneurysm that was treated using a simultaneous open surgical and endovascular approach. The patient underwent right common femoral to below-knee popliteal artery bypass and percutaneous endovascular embolization of the right sciatic artery aneurysm. Proper surgical intervention determined by the patient's comorbidities and unique anatomy achieved favorable outcomes.http://www.sciencedirect.com/science/article/pii/S2468428723001892AneurysmEmbolizationEndovascular repairOpen bypassSciatic artery
spellingShingle Min H. Choi, MD
Turna J. Mukherjee, MD
Cuepil Choi, BS
Javairiah Fatima, MD
Cameron M. Akbari, MD
A hybrid approach to persistent sciatic artery fusiform aneurysm repair
Journal of Vascular Surgery Cases and Innovative Techniques
Aneurysm
Embolization
Endovascular repair
Open bypass
Sciatic artery
title A hybrid approach to persistent sciatic artery fusiform aneurysm repair
title_full A hybrid approach to persistent sciatic artery fusiform aneurysm repair
title_fullStr A hybrid approach to persistent sciatic artery fusiform aneurysm repair
title_full_unstemmed A hybrid approach to persistent sciatic artery fusiform aneurysm repair
title_short A hybrid approach to persistent sciatic artery fusiform aneurysm repair
title_sort hybrid approach to persistent sciatic artery fusiform aneurysm repair
topic Aneurysm
Embolization
Endovascular repair
Open bypass
Sciatic artery
url http://www.sciencedirect.com/science/article/pii/S2468428723001892
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