title: Persistent left sciatic artery eliminated need for revascularization in a 13-year-old with pseudoaneurysm of the superficial femoral artery.
abstract: Persistent sciatic artery (PSA) is an anatomical variation which is rare and most frequently diagnosed secondary to its clinical complications. The sciatic artery walls have a tendency to aneurysmal degeneration and may evolve to thrombosis or thromboembolism. This article reports the case of a 13-year-old male patient with left superficial femoral artery pseudoaneurysm after gunshot wound and complete PSA with in-line flow to the popliteal artery as incidental finding. The patient underwent coil embolization of the pseudoaneurysm with the sciatic artery left intact. The technical aspects are discussed and the literature on diagnosis and therapeutic approach of this anatomical variation is reviewed.
authors: Division of Vascular Surgery and Endovascular Therapy, Emory University School of Medicine, Atlanta, GA, USA. ntsilimparis@yahoo.com
authors: Nikolaos
authors: N
authors: Tsilimparis
authors: Amitesh
authors: A
authors: Khare
authors: Paul J
authors: PJ
authors: Riesenmann
authors: James G
authors: JG
authors: Reeves
mesh_terms: D000293:Adolescent; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014948:Wounds, Gunshot / Q000150:complications / Q000175:diagnosis / Q000628:therapy*