title: Bilateral persistent sciatic artery with aneurysm formation and review of the literature.
abstract: 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.
authors.affiliation: Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH.
authors.forename: Shiayin
authors.initials: S
authors.lastname: Yang
authors.affiliation: Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH.
authors.forename: Kevin
authors.initials: K
authors.lastname: Ranum
authors.affiliation: Department of Surgery, Blanchard Valley Hospital, Findlay, OH.
authors.forename: Michael
authors.initials: M
authors.lastname: Malone
authors.affiliation: Division of Vascular and Endovascular Surgery, University of Toledo Medical Center, Toledo, OH. Electronic address: munier.nazzal@utoledo.edu.
authors.forename: Munier
authors.initials: M
authors.lastname: Nazzal
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001158:Arteries / Q000002:abnormalities; D002081:Buttocks / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000628:therapy