Department of Vascular Surgery, 2205Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
School of Medicine, University of Notre Dame, Darlinghurst, NSW, Australia.
Vasc Endovascular Surg. 2022 Nov;56(8):779-783. doi: 10.1177/15385744221110948. Epub 2022 Jun 24.
Persistent sciatic arteries are rare congenital abnormalities, with an incidence between .01-.6%. Whilst most patients with the pathology are asymptomatic during their younger years, up to 48% of patients will suffer aneurysmal degeneration of the persistent sciatic artery and present with claudication or lower limb ischaemia (from distal embolisation of mural thrombus). Due to the rare nature of persistent sciatic artery aneurysms, optimal management of the pathology is yet to be determined. Both endovascular and open techniques have been described in the management of this pathology, however hybrid management approaches are reported infrequently. The authors present a case of a persistent sciatic artery aneurysm successfully treated in a 69-year-old male utilising a hybrid approach with a femoropopliteal bypass (below knee), Amplatzer plug occlusion of the aneurysm and subsequent resection of the aneurysm.
持续性坐骨动脉是罕见的先天性异常，发病率在.01-.6%之间。虽然大多数患有该病理的患者在年轻时没有症状，但高达 48%的患者会出现持续性坐骨动脉的动脉瘤性退行性变，并出现跛行或下肢缺血（来自壁血栓的远端栓塞）。由于持续性坐骨动脉动脉瘤的罕见性质，该病理的最佳治疗方法仍有待确定。腔内和开放技术都已被描述用于该病理的治疗，但是混合治疗方法的报道很少。作者报告了一例成功治疗 69 岁男性持续性坐骨动脉动脉瘤的病例，该病例采用混合方法治疗，包括股腘旁路（膝下）、Amplatzer 塞子闭塞动脉瘤和随后的动脉瘤切除术。
