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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...

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Updated: Jun 19, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Ruptured persistent sciatic artery aneurysm managed by endovascular embolization.

Combiz Rezayat1, Elliot Sambol, Lee Goldstein

  • 1Division of Vascular Surgery, New York Presbyterian, New York, NY, USA.

Annals of Vascular Surgery
|November 7, 2009
PubMed
Summary
This summary is machine-generated.

Persistent sciatic artery (PSA) aneurysms can rupture, causing limb ischemia. This case highlights successful endovascular embolization for a ruptured PSA, a rare vascular anomaly.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Case Reports

Background:

  • Persistent sciatic artery (PSA) is a rare congenital vascular anomaly affecting 0.025%–0.05% of the population.
  • PSA aneurysms have a high propensity for degeneration, leading to complications like distal ischemia, sciatic neuropathy, or rupture.

Observation:

  • A 70-year-old male presented with acute left lower extremity ischemia due to a popliteal embolus from a complete PSA aneurysm.
  • Following initial treatment, he re-presented with hemodynamic instability, a pulsatile buttock mass, and anemia, indicating a ruptured PSA aneurysm.

Findings:

  • Computed tomography angiography confirmed a ruptured PSA aneurysm.
  • The ruptured aneurysm was successfully managed with emergent endovascular exclusion using Amplatzer vascular plugs.
  • Postoperative complications included foot drop and a buttock abscess.

Implications:

  • This case represents the first reported instance of successful endovascular management for a ruptured PSA aneurysm.
  • Endovascular embolization offers a viable treatment option for ruptured PSA aneurysms, potentially avoiding open surgical repair.
  • Understanding the etiology and management of this rare anomaly is crucial for timely diagnosis and effective treatment.