Muniz Beatriz Ramos Santos, Joviliano Edwaldo Edner, Dalio Marcelo Bellini, Giacomin Eloisa Spinassé, Segundo Willams Germano Bezerra, Gomes Karoline Evelyn Barbosa
Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
J Vasc Surg Cases Innov Tech. 2024 Apr 14;10(4):101509. doi: 10.1016/j.jvscit.2024.101509. eCollection 2024 Aug.
A persistent sciatic artery (PSA) is a rare congenital vascular anomaly, with an estimated prevalence ranging from 0.01% to 0.05%. This condition can cause ischemic events in the lower limbs and sciatic artery aneurysms but can also be asymptomatic. A PSA can complicate the treatment of other coexistent vascular diseases due to the thin caliber of the external iliac and femoral arteries. We report a case of a patient with bilateral PSAs and an infrarenal aortic aneurysm. The aneurysm was successfully treated by the endovascular approach. An ultra-low profile endograft associated with access incisions slightly above the usual position was used to overcome this challenging access.
持续性坐骨动脉（PSA）是一种罕见的先天性血管异常，估计患病率在0.01%至0.05%之间。这种情况可导致下肢缺血事件和坐骨动脉瘤，但也可能无症状。由于髂外动脉和股动脉管径较细，PSA会使其他并存血管疾病的治疗复杂化。我们报告一例双侧PSA合并肾下腹主动脉瘤患者的病例。该动脉瘤通过血管内介入治疗成功治愈。使用了一种超小型腔内移植物，并将接入切口置于略高于通常位置，以克服这一具有挑战性的接入问题。
