Track topics on Twitter Track topics that are important to you
Persistent sciatic artery (PSA) is an exceptionally rare embryological vascular anomaly with a reported incidence, based on angiographic series, of between 0.01 and 0.05%. We report a case of a patient with bilateral PSAs and a unilateral 12-cm aneurysm arising from the left PSA. As with our case, most PSAs are among the dominant arteries that supply blood to the lower limb with aneurysm formation occurring in up to 40% of cases. The femoral artery is often hypoplastic. Presentation usually includes symptoms and signs of an enlarged buttock mass, sciatic nerve compression, and distal limb ischemia. An interposition inlay graft is the preferred method of surgical repair. Dissection of the aneurysm is not recommended because of risk of damage to the sciatic artery. Endovascular stent placement is an accepted method of repair but does not deal with any local symptoms of the expanding aneurysm.
Department of Vascular Surgery, North Manchester General Hospital, Manchester, United Kingdom.
This article was published in the following journal.
Name: Annals of vascular surgery
Persistent sciatic artery is a rare developmental anomaly prone to atherosclerotic disease. We present a case of successful endovascular therapy for left persistent sciatic artery that was occluded at...
The Pipeline Embolization Device (PED) was approved for the treatment of intracranial aneurysms from the petrous to the superior hypophyseal segment of the internal carotid artery. However, since its ...
A spontaneous fusiform aneurysm in the middle cerebral artery (MCA) can present with both ischemic and hemorrhagic symptoms, but the clinical course and prognosis are unclear because of its rarity.
This case describes the surgical repair of profunda femoris artery aneurysm in a patient with a history of metasynchronous superficial femoral artery aneurysm. It demonstrates the value of screening f...
The rupture of an extracranial vertebral artery aneurysm has only been rarely described in the literature and treatment options are therefore not standardized. Here we report the successful endovascul...
Sciatic nerve blocks are frequently used for anesthesia or analgesia for surgery of the lower legs. Currently, if ultrasound is used to find the sciatic nerve, the leg must be raised to l...
International registry gathering patients with angiographically confirmed coronary aneurysm.
Traumatic disruption of iliofemoral arterial segment is often associated with multiple injuries, massive hemorrhage, state of shock, and loss of blood supply to the ipsilateral lower extre...
This study aims to compare the sensory and motor block duration and the incidence of nerve injury after sciatic nerve block between diabetic and non-diabetic patients, and screen for the f...
The purpose of this study is to compare the incidence of postoperative symptoms of neurologic injury after a single shot infragluteal-parabiceps sciatic nerve block versus a continuous inf...
Splitting of the vessel wall in the VERTEBRAL ARTERY. Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the vertebral artery, aneurysm formation, or THROMBOEMBOLISM. Vertebral artery dissection is often associated with TRAUMA and injuries to the head-neck region but can occur spontaneously.
The splitting of the vessel wall in one or both (left and right) internal carotid arteries (CAROTID ARTERY, INTERNAL). Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the internal carotid artery and aneurysm formation.
Ischemia or infarction of the spinal cord in the distribution of the anterior spinal artery, which supplies the ventral two-thirds of the spinal cord. This condition is usually associated with ATHEROSCLEROSIS of the aorta and may result from dissection of an AORTIC ANEURYSM or rarely dissection of the anterior spinal artery. Clinical features include weakness and loss of pain and temperature sensation below the level of injury, with relative sparing of position and vibratory sensation. (From Adams et al., Principles of Neurology, 6th ed, pp1249-50)
Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
Blood is a specialized bodily fluid that delivers necessary substances to the body's cells (in animals) – such as nutrients and oxygen – and transports waste products away from those same cells. In vertebrates, it is composed of blo...