Midterm Failure after Endovascular Treatment of a Persistent Sciatic Artery Aneurysm

Girsowicz, Elie; Georg, Yannick; Lejay, Anne; Ohana, Mickael; Delay, Christophe; Bouamaied, N.; Thaveau, Fabien; Chakfé, Nabil

doi:10.1016/j.avsg.2014.01.022

Cited by 15 publications

(11 citation statements)

References 16 publications

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“… 10 ) Indeed, Girsowicz et al reported a stent-graft that fractured 6 months after implantation. 8 ) Although other reports have described favorable short- and mid-term results, the longest reported patency was 4 years. 9 ) Follow-up is therefore imperative to identify potential device fracture(s) and occlusion of the Excluder leg that may occur due to chronic compression.…”

Section: Discussionmentioning

confidence: 90%

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

Fukuda

Onitsuka

Yoshida

et al. 2017

Annals of Vascular Diseases

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Persistent sciatic artery (PSA) is a rare anomaly that may cause various symptoms, such as aneurysm, rupture, thromboembolism, and sciatica. Direct surgery can be performed to treat PSA aneurysm (PSAA), but is associated with complications; e.g., anatomical problems such as sciatic nerve injury. Herein we report a case of a 74-year-old woman with acute limb ischemia that developed from a distal embolism caused by a thrombus in the left PSAA; favorable results were obtained for her by treatment with a stent-graft after rapid anticoagulation therapy for limb salvage.

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Section: Discussionmentioning

confidence: 90%

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

Fukuda

Onitsuka

Yoshida

et al. 2017

Annals of Vascular Diseases

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“…Endovascular interventions for femoropopliteal arteries are applicable, particularly in high-risk patients with low risk and low complication rates. [41,42] However, only one case of endovascular aneurysm intervention which was associated with a negative outcome was reported by Girsowitcz et al [43] In this case, an 11x110 mm wall-coated stent was broken, leading to the complete occlusion of the aneurysm and distal segments of PSA. Girsovicz et al [43] reported that the mechanical stress caused by the load and the motion in a region of the aneurysm caused the breakage of the stent, indicating an inadequacy of the stent itself.…”

Section: Discussionmentioning

confidence: 99%

From diagnosis to treatment of persistent sciatic artery: a revised review of the literature

Çeviker¹

2016

Turk Gogus Kalp Dama

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Persistan siyatik arter çok nadir görülen bir doğuştan damar malformasyonudur. Siyatik arter, fetal yaşamdaki aksiyal arterin devamıdır ve internal iliyak arterleri popliteotibial damarlara bağlar. Femoral arter hipoplazisi, siyatik arterin devamlılık göstermesine neden olur ve böylece alt ekstremitenin baskın damarı haline gelerek, persistan siyatik arter adı verilen duruma yol açar. Persistan siyatik arter, anevrizma ve aterosklerotik darlık gelişmesine meyilli bir damarsal yapıdır. Genellikle anevrizma oluşumu veya alt ekstremite iskemisine veya anevrizma kitlesinin siyatik sinire basısı nedeni ile nörolojik semptomlara yol açan tromboembolik komplikasyonlar ile karakterizedir. Tanı ve sınıflama için anjiyografi teknikleri kullanılabilmekle birlikte, tanı ve takip için Doppler ultrasonografi kullanılabilir. Tedavi seçimi kararı, her hastanın genel durumuna, eşlik eden semptomlara ve hastalığın sınıflandırmasına bağlıdır. Başlangıçta, güvenli ve etkili sonuçlar ile günümüzde tedavi seçeneği olan endovasküler girişimler tercih edilebilir; ancak, dikkatli takip gereklidir. Anah tar söz cük ler: Sınıflama; tanı; persistan siyatik arter; derleme; tedavi.

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“…From 2001 to 2018, 13 articles reported on 13 patients with complete PSA aneurysm undergoing endovascular stent graft repair (Table 1). 5,10–21 The ages ranged from 47 to 88 years. Complete PSA aneurysm was diagnosed in five men (44%) and eight women (56%).…”

Section: Discussionmentioning

confidence: 99%

“…The longest patency reported was 4 years. Only Girsowicz et al 17 reported that the stent graft (Viabhan) fractured at 6 months of follow-up. Because the stent graft is implanted in the PSA exposing to chronic extrinsic compression over the hip joint, the radial resistive force of the stent graft may be insufficient.…”

Section: Discussionmentioning

confidence: 99%

Endovascular stent graft repair of complete persistent sciatic artery aneurysm with lower limb ischemia: A case report and review of the literature

Wang

Hai

Tan

et al. 2019

SAGE Open Medical Case Reports

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Background: Persistent sciatic artery is a rare embryological vascular anomaly, with an incidence of 0.01%–0.05%. Up to 60% of persistent sciatic artery patients will develop aneurysms that can subsequently lead to distal embolization and a high risk of limb loss. Method: Here we report a case with acute limb ischemia caused by thrombus in a right persistent sciatic artery aneurysm. The patient underwent endovascular treatment by deploying a 10 × 150 mm stent graft (Viabahn) in the persistent sciatic artery and two self-expanding bare stents (10 × 40 mm, 10 × 60 mm, SMART) in the stent graft to reinforce the radial resistive force. In addition, we conducted a literature review of articles published in PubMed from 2001 to 2018 regarding stent graft repair of complete persistent sciatic artery aneurysms. A total of 13 articles reported 13 patients with complete persistent sciatic artery aneurysms who underwent endovascular stent graft repair. Result: A favorable result was obtained for this patient, and computed tomographic angiography at 6 months of follow-up revealed patent stent graft. Most articles reported favorable results. Conclusion: Favorable results can be achieved with endovascular stent graft repair and anticoagulation therapy for complete persistent sciatic artery aneurysms.

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Midterm Failure after Endovascular Treatment of a Persistent Sciatic Artery Aneurysm

Cited by 15 publications

References 16 publications

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm

From diagnosis to treatment of persistent sciatic artery: a revised review of the literature

Endovascular stent graft repair of complete persistent sciatic artery aneurysm with lower limb ischemia: A case report and review of the literature

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