Universität zu Köln

Ahmad, Wael ORCID: 0000-0001-5090-3468, Majd, Payman, Luebke, Thomas, Gawenda, Michael and Brunkwall, Jan Sigge (2016). Clinical outcome after surgical and endovascular treatment of symptomatic persistent sciatic artery with review of the literature and reporting of three cases. Vascular, 24 (5). S. 469 - 481. LONDON: SAGE PUBLICATIONS LTD. ISSN 1708-539X

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Abstract

A persistent sciatic artery is a very rare vascular anomaly with an estimated incidence of 0.025-0.06% and with less than 200 described cases in the literature. During early embryonic development, the sciatic artery delivers the major blood supply to the lower limb and usually disappears when the superficial femoral artery has developed properly. The usual form of presentation in adults is the aneurysmal degeneration of the sciatic artery or less frequently with another complication (thrombosis, embolism, neuralgia). We describe three cases of a complete sciatic artery (two cases are bilateral and one is unilateral) associated with lower limb ischemia caused by embolism from the aneurysmal degeneration of the sciatic artery at the buttock level in two cases and atherosclerotic degeneration of the lower limb arteries in the third case. We also describe two combined therapy methods consisted of limb revascularization with vein-graft bypass and endovascular embolization of the aneurysm with vascular plug in the first case, in the second case combination of localized thrombolysis therapy followed by a bypass and an ilio-pedal vein bypass in the third one. And we discuss later the reported clinical outcome after surgical and endovascular treatment of this anomaly in the literature.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ahmad, Wael UNSPECIFIED orcid.org/0000-0001-5090-3468 UNSPECIFIED Majd, Payman UNSPECIFIED UNSPECIFIED UNSPECIFIED Luebke, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Gawenda, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan Sigge UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-261105
DOI:	10.1177/1708538115611791
Journal or Publication Title:	Vascular
Volume:	24
Number:	5
Page Range:	S. 469 - 481
Date:	2016
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1708-539X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTERMITTENT CLAUDICATION; ANEURYSM; ISCHEMIA; MANAGEMENT; REPAIR Multiple languages Peripheral Vascular Disease Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26110