Unclassified unilateral persistent sciatic artery in a patient with chronic intermittent claudication

Kristina Duan, BS; Jiaqi Huang, MS; Chaoyi Cui, MD, PhD; Huihua Shi, MD, PhD; Xinwu Lu, MD, PhD; Xiaobing Liu, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2019)

Unclassified unilateral persistent sciatic artery in a patient with chronic intermittent claudication

Kristina Duan, BS,
Jiaqi Huang, MS,
Chaoyi Cui, MD, PhD,
Huihua Shi, MD, PhD,
Xinwu Lu, MD, PhD,
Xiaobing Liu, MD, PhD

Affiliations

Kristina Duan, BS: Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Jiaqi Huang, MS: Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Chaoyi Cui, MD, PhD: Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Huihua Shi, MD, PhD: Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Xinwu Lu, MD, PhD: Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Xiaobing Liu, MD, PhD: Correspondence: Xiaobing Liu, MD, PhD, Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Rd, Shanghai 200011, China; Department of Vascular Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

Journal volume & issue: Vol. 5, no. 3
pp. 379 – 383

Abstract

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Patients with persistent sciatic artery are at high risk for development of limb ischemia, aneurysm formation, and embolism. In this report, we identify a nonclassified left leg persistent sciatic artery in a patient with chronic limb ischemia. Vascular reconstruction was carried out by common iliac-deep femoral artery bypass to restore adequate arterial flow. Our approach to placement of the distal anastomosis on the deep femoral artery instead of on the popliteal artery, which is used in routine practice, may potentially increase treatment efficacy and decrease surgical complications. At 2-year follow-up, the patient remained asymptomatic and in good health. Keywords: Persistent sciatic artery (PSA), Bypass, Patency

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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