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Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization  Ryan M. McEnaney, MD, Donald T. Baril, MD, Navyash.

Published byΖαχαρίας Κορνάρος Modified over 6 years ago

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Presentation on theme: "Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization  Ryan M. McEnaney, MD, Donald T. Baril, MD, Navyash."— Presentation transcript:

1 Persistent sciatic artery aneurysm treated with concomitant tibial bypass and vascular plug embolization  Ryan M. McEnaney, MD, Donald T. Baril, MD, Navyash Gupta, MD, Luke K. Marone, MD, Michel S. Makaroun, MD, Rabih A. Chaer, MD  Journal of Vascular Surgery  Volume 50, Issue 4, Pages (October 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Preoperative collimated pelvic aortoiliac angiogram, with the arrow indicating the abnormal vessel rising from the left hypogastric, which was not initially recognized. B, C, Images via selective injection of the left common femoral artery show termination of the superficial femoral artery (SFA) in the mid-thigh. D, Distally, the posterior tibial artery is reconstituted (arrow) and was chosen for a distal target for bypass. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, After discovery of the persistent sciatic artery (PSA), the patient returned to the angiography suite and the abnormal vessel was imaged. At this time, it was discovered that the bypass graft was anastomosed to the PSA (arrow) and that the PSA was occluded at the knee (arrowhead). B, The distal anastomosis was patent to the posterior tibial artery which terminated in collaterals at the level of the ankle. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A three-dimensional computed tomography angiography reconstruction demonstrates detailed anatomy of the persistent sciatic artery (PSA) (arrowhead). In the distal thigh, the bypass graft is seen anastomosed to the PSA (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Selective angiography of the persistent sciatic artery (PSA), demonstrating successful exclusion of the aneurysm after inflow and outflow embolization with two 12 mm Amplatzer vascular plugs. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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