Title
Endovascular Abdominal Aortic Aneurysm Repair Through a Persistent Sciatic Artery
Publication Date
2015
Journal Title
Innovations (Phila)
Abstract
Conventional access for endovascular infrarenal aortic aneurysm repair is through the femoral artery. In rare circumstances, an anomalous persistent sciatic artery may replace the femoral arterial system as the main blood supply of the lower extremity. We report the case of a 64-year-old woman with a rapidly expanding infrarenal abdominal aortic aneurysm. Preoperative computed tomography revealed a right persistent sciatic artery with an ipsilateral atrophic femoral artery. Her aortic aneurysm was successfully repaired using an endovascular approach with access through the right persistent sciatic artery and contralateral femoral artery. A persistent sciatic artery can be used as an access for endovascular treatment of an infrarenal aortic aneurysm. This technique can be extrapolated to the treatment of distal or contralateral aneurysms, precluding the need for open operation.
Volume Number
10
Issue Number
5
Pages
354-6
Document Type
Article
EPub Date
2015/11/18
Status
Faculty
Facility
School of Medicine
Primary Department
Cardiovascular and Thoracic Surgery
PMID
DOI
10.1097/imi.0000000000000188