[Ischemia of the lower extremity due to a persistent a. ischiadica--a possible interventional therapeutic approach].
The sciatic artery is a rarely seen variant of the vessels of the lower limb. Anatomically it is the prolongation of the inferior gluteal artery and accompanies the sciatic nerve from the sciatic foramen to the knee. More than other vessels, the sciatic artery shows vasculopathies like diffuse dilatation or aneurysms. This report describes an interesting case of embolic acute ischemia, caused by a persistent sciatic artery with an aneurysm. We treated the ischemia with intra-a. lysis and bridged the aneurysm with an covered stent.
Tomczak
R
R
Klinik und Poliklinik für Radiologie, Universität Ulm. reinhard.tomczak@medizin.uni-ulm.de
Görich
J
J
Pamler
R
R
Brambs
H J
HJ
D000208:Acute Disease; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D000792:Angiography; D001158:Arteries; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D008875:Middle Aged; D010960:Plasminogen Activators / Q000008:administration & dosage; D015641:Radiography, Interventional / Q000379:methods*; D012584:Sciatic Nerve; D015607:Stents; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator