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Endovascular Management of a Large Persistent Sciatic Artery Aneurysm
Tazo S Inui1, Andrew C Picel2, Andrew Barleben1
1Department of Surgery, Division of Vascular and Endovascular Surgery, University of California, San Diego, San Diego, CA.
Abstract:
The persistent sciatic artery (PSA) is a remnant of the fetal circulatory system that is preserved in less than 0.1% of the population. Up to 60% of patients with this vascular anomaly will go on to development of a PSA aneurysm (PSAA), which can produce a variety of symptoms including neuropathy, claudication, and acute limb-threatening ischemia. Historical management is by open operation and interposition grafting, which can be highly morbid. We describe successful management of a large, symptomatic PSAA by endovascular stent grafting with intermediate term follow-up.
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