An Effective Hybrid Treatment for Persistent Sciatic Artery Aneurysm.
Alessandro Ciolli1,2, Francesco Stilo1, Vincenzo Cirimele3
1Vascular Surgery Unit, Fondazione Policlinico Campus Bio-Medico di Roma, Rome, Italy.
EJVES Vascular Forum
|October 27, 2025
Summary
Bilateral persistent sciatic artery aneurysms (PSAAs) can cause limb ischemia. A hybrid approach combining surgical bypass and embolization successfully treated one patient's right PSAA, relieving rest pain and preventing further complications.
Area of Science:
- Vascular Surgery
- Congenital Vascular Anomalies
- Interventional Radiology
Background:
- Persistent sciatic artery (PSA) is a rare congenital vascular anomaly.
- PSA can lead to complications like aneurysm formation and thrombosis, potentially causing limb-threatening ischemia.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
253
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...
253
01:27Peripheral Artery Disease III: Interprofessional Care
236
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...
236
01:22Aneurysm IV: Nursing Management
368
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...
368
01:23Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
452
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
452