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10.5606/tgkdc.dergisi.2016.11872
From diagnosis to treatment of persistent sciatic artery: a revised review of the literature
Kadir Çeviker1, Kerim Yetiş Baş2, Dinçer Uysal1, Hakan Demirtaş3, Turhan Yavuz1
1Departments of Cardiovascular Surgery, Medical Faculty of Süleyman Demirel University, Isparta, Turkey
2Departments of Student, Medical Faculty of Süleyman Demirel University, Isparta, Turkey
3Departments of Radiology, Medical Faculty of Süleyman Demirel University, Isparta, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.11872
Persistent sciatic artery is a very rare congenital vascular
malformation. Sciatic artery is the persistence of the axial
artery in fetal life and connects the internal iliac arteries
to the popliteotibial arteries. Femoral arterial hypoplasia
causes the sciatic artery to persist and, therefore, becomes
the dominant inflow to the lower extremity leading to
the condition termed persistent sciatic artery. Persistent
sciatic artery is a vascular structure which is prone to
develop aneurysms and atherosclerotic stenosis. It is often
characterized by aneurysm formation or thromboembolic
complications causing lower extremity ischemia and
neurological symptoms caused by compression of the
aneurysm mass to the sciatic nerve. Angiography techniques
can be used for the diagnosis and classification, while
Doppler ultrasonography can be used for the diagnosis
and follow-up. The decision on the treatment options
depends on the overall condition of each patient, presenting
symptoms, and classification of the disease. Endovascular
interventions, which are the current treatment options,
may be initially preferred with safe and effective results;
however, careful follow-up is necessary.
Keywords : Classification; diagnosis; persistent sciatic artery; review; treatment
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