双侧持续性坐骨动脉伴动脉瘤形成及文献复习
Bilateral persistent sciatic artery with aneurysm formation and review of the literature.
作者信息
Yang Shiayin, Ranum Kevin, Malone Michael, Nazzal Munier
机构信息
Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH.
Department of Surgery, Blanchard Valley Hospital, Findlay, OH.
出版信息
Ann Vasc Surg. 2014 Jan;28(1):264.e1-7. doi: 10.1016/j.avsg.2013.03.015. Epub 2013 Nov 5.
Persistent sciatic artery (PSA) is an uncommon medical condition that can result in limb loss if it is not recognized or corrected. It is associated with 14% limb loss and 86% formation of aneurysm of the sciatic artery. In this study we describe a patient with bilateral persistent sciatic arteries associated with multiple aneurysms who presented with a large aneurysm formation and limb ischemia. The patient was treated with PSA embolization and exclusion of the aneurysm in the right leg with vein bypass. All reported cases in the English literature between 1965 and 2012 were reviewed and management options were compared.
持续性坐骨动脉（PSA）是一种罕见的病症，如果未被识别或纠正，可能导致肢体丧失。它与14%的肢体丧失和86%的坐骨动脉瘤形成有关。在本研究中，我们描述了一名患有双侧持续性坐骨动脉并伴有多个动脉瘤的患者，该患者出现了一个大的动脉瘤形成和肢体缺血。患者接受了PSA栓塞治疗，并通过静脉搭桥术排除了右腿的动脉瘤。我们回顾了1965年至2012年间英文文献中报道的所有病例，并比较了治疗方案。
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