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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Arteriovenous malformation arising on persistent sciatic vessels
Sosei Kuma1, Shinsuke Mii, Ichiro Masaki
1Department of Vascular Surgery, Kokura Memorial Hospital, Kitakyushu 802-8555, Japan. kumasosei@yahoo.co.jp
Annals of Vascular Surgery
|November 7, 2009
Summary
This case report details a rare arteriovenous malformation on persistent sciatic vessels. Transcatheter embolization successfully treated this surgically inaccessible condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Persistent sciatic artery is a rare congenital anomaly.
- Arteriovenous malformations (AVMs) arising on these vessels are exceptionally rare.
Observation:
- A 30-year-old female presented with a persistent sciatic artery complicated by a buttock AVM.
- The AVM was surgically inaccessible due to its location and complexity.
Findings:
- A three-stage transcatheter embolization was performed using N-butyl-cyanoacrylate and lipiodol.
- Multidetector computed tomography confirmed the successful obliteration of the AVM.
Implications:
- This represents the first reported case of a persistent sciatic artery AVM treated with transcatheter embolization.
- Transcatheter embolization is a viable and effective treatment option for complex AVMs in rare vascular anomalies.
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