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A hybrid approach for the treatment of persistent sciatic artery aneurysms Alexander Graf, MD, Brian Keyashian, MD, Anthony Brown, MD, Sean M. Tutton, MD, Cheong Jun Lee, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 4, Pages 174-177 (December 2016) DOI: 10.1016/j.jvscit.2016.07.001 Copyright © 2016 The Authors Terms and Conditions

Fig 1 Above, Left persistent sciatic artery (PSA) with a 3.1-cm saccular aneurysm containing mural thrombus. Below, Complete thrombosis and regression of PSA aneurysm at the 3-month follow-up. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 174-177DOI: (10.1016/j.jvscit.2016.07.001) Copyright © 2016 The Authors Terms and Conditions

Fig 2 Volume-rendered computed tomography angiography (upper left) preoperatively and (upper right) postoperatively of a left persistent sciatic artery (PSA) aneurysm repair using a hybrid technique. Angiography (lower left) preoperatively and (lower right) immediately postoperatively shows successful endovascular treatment of PSA aneurysm via combined Amplatzer plug (AGA Medical Corp, Plymouth, Minn) and coiling. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 174-177DOI: (10.1016/j.jvscit.2016.07.001) Copyright © 2016 The Authors Terms and Conditions

Fig 3 Above, Intraoperative photograph demonstrates the aberrant anatomy of the persistent sciatic artery (PSA) that continues as the popliteal artery. The PSA-popliteal artery is deep to the subsartorial space and deep to the adductor longus and magnus muscles coursing along with the sciatic nerve. The atretic superficial femoral artery is shown in comparison. Below, Once the bypass was completed, the hood of the graft at the distal anastomosis was accessed retrograde for endovascular exclusion of the PSA aneurysm. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 174-177DOI: (10.1016/j.jvscit.2016.07.001) Copyright © 2016 The Authors Terms and Conditions