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Area of Science:

  • Vascular Surgery
  • Embryology
  • Interventional Radiology

Background:

  • Persistent sciatic artery (PSA) is a rare embryologic remnant of the internal iliac artery, with an incidence of 0.03-0.06%.
  • PSA aneurysms can lead to neurological compression or thromboembolic and ischemic complications.
  • Recurrent thromboembolic symptoms pose a significant clinical challenge.

Purpose of the Study:

  • To report a case of recurrent thromboembolic symptoms secondary to a persistent sciatic artery aneurysm.
  • To demonstrate the successful endovascular management of this rare condition.

Main Methods:

  • A case presentation of a patient with recurrent thromboembolic symptoms and a PSA aneurysm.
  • Description of the endovascular treatment procedure.

Main Results:

  • Successful exclusion of the persistent sciatic artery aneurysm.
  • Resolution of recurrent thromboembolic symptoms post-intervention.

Conclusions:

  • Endovascular treatment is a viable and effective option for managing persistent sciatic artery aneurysms.
  • Early diagnosis and intervention can prevent severe ischemic complications.