International Journal of Medical and Dental Sciences

Open Access Open Access  Restricted Access Subscription Access

Persistent Sciatic Artery


Affiliations
1 Anatomy, Govt Medical College, Amritsar, Punjab, India
 

Arteria comitans nervi ischiadici or Persistent sciatic artery (PSA) is a rare congenital vascular anomaly with an incidence varying 0.025-0.04% . During routine dissection in department of anatomy an incomplete type of Persistent sciatic artery was found which is being reported here. Its oncogeny and phylogeny is also discussed in detail. Such a PSA is prone to atheromatous degeneration, thrombosis, distal thromboembolism, aneurysm formation and rupture. Although rare, the possibility of such an anomaly must be borne in mind with certain clinical presentations , during orthopedic procedures on the hip and during angiographic studies of the leg. Successful surgical correction of problems necessitates excluding the anomalous artery from the circulation while revascularizing the lower exterimity.

Keywords

Sciatic Artery, Persistent, Lower Limb.
User
Notifications
Font Size


  • Standring S, Mahadevan V, Collins P, Healy JC, Amis A, Bull A et al. Pelvic girdle, Gluteal region and Thigh. In: Grey’s Anatomy. The anatomical basis of clinical practice. 40th edition. Philadelphia; Churchill Livingstone 2008.p.1378.

  • Nanjundaiah K, Chowdapurkar S, Rajan R. Persistent axis vessels of the lower limb-A rare anomaly.J Clin Diag Res 2012;6(2):293-95.

  • Mayschak DT, Flye MW. Treatment of the persistent sciatic artery. Ann Surg 1984;199(1):69-74.

  • Santaolalla V, Bemabe MH, Hipola Ulecia JM, De loyala AGI, Hoyos YG, Oteno FJ et al. Persistent sciatic artery. Ann Vasc Surg 2010;24(5):691-99.

  • Brasileiro JL, Juliana C, Santos MA. Persistent sciatic artery aneurysm: case report. J Vasc Bras 2008;7(1):169-71.

  • Julia J, Rimbau EM, Gomez F, Lozano P, Lorominas C. Arteria sciatica persistent bilateral. Rev Angiol 1995;4:199-205.

  • Hassan A. Symptomatic persistent sciatic artery. J Am coll Surg 2004;199: 171-3.

  • Aziz ME, Yusof NR, Abdullah MS, Yusof AH, Yusof MI. Bilateral Persistent sciatic arteries with unilateral complicating aneurysm. Singapore Med J 2005;46: 426-8.

  • Lau D, Coogan SM, Azizzadeh A, Safi HJ. Acute limb ischemia in a patient with persistent sciatic artery. Southern Assoc Vasc Surg 2013. file://G:SAVS Acute Limb Ischemia in a patient with persistent sciatic artery.htm.

  • Szejnfeld D, Belczak SQ, Sincos IR, Aun R. Persistent sciatic artery angiography. J Vasc Bras 2011;10(2):169-72.

  • Paraskevas G, Papaziogas B, Gigis J, Mylonas A, Gigis P. The persistence of the sciatic artery. Folia Morphol 2004;64(4):515-18.

  • Hayashi Shogo, Hayashi S, Nasu H, Abe H, Vazquez JFR, Murakami G. An artery accompanying the sciatic nerve (arteria comitans nervi ischiadici) and the position of hip joint: a comparative histological study using chick, mouse and human foetal specimens. J Fol Morphol 2013;72(1).297-351.

  • Fearing NM, Ammar AD, Hutchinson SA, Lucas ED. Endovascular stent graft repair of a persistent sciatic artery aneurysm. Ann Vasc Surg 2005;19:43841.

  • Mathias KD, Feldmuller M, Haarmann P, Goldbeck F. Persistent sciatic artery: Bilateral Percutaneous transluminal angioplasty in ischemic disease. Cardiovasc Intervent Radiol 1993;16:377-9.

  • Ischida K, Imamaki M, Ishida A, Shimura H, Miyazaki MA. Ruptured aneurysm in persistent sciatic artery: case report. J Vasc Surg 2005;42:556-8.

  • Nunes MA, Ribeiro RM, Aragao JA, Reis FP, Feitosa VL. Diagnosticoe tratamento de aneurisma da arteria isquiatica persistente: relato de caso e revisao da literature. J Vasc Bras 2008;7:66-71.

  • Brantley SK, Rigdon EE, Raju S. The persistent sciatic artery: Embryology, Pathology and treatment. J Vasc Surg 1993;18(2):242-48.

  • Sendel T, Yilmaz S, Onur R, Sindel M. The Persistent sciatic artery: Radiological features and patient management. Saudi Med J 2006;27(5):721-24.

  • Ito H, Okadome K, Odashiro T, Ischii T, Funahashi S, Komori K, Sugimichi K. Persistent sciatic artery: Two case reports and a review of the literature. Cardiovasc Surg 1994;2:275-80.

  • Loh FK. Embolisation of sciatic artery aneurysm an alternative to surgery:a case report. Angiology 1985;36:472-6.

  • Batchelar TJ, Vowden P. Persistent sciatic artery aneurysm with an associated internal iliac artery 2000; 20:400-2.

  • Jain S, Munn JS, Simoni EJ, Jain KM. Endograft repair of a persistent sciatic artery aneurysm. EJVES Extra 2004;8:56.


Abstract Views: 252

PDF Views: 153




  • Persistent Sciatic Artery

Abstract Views: 252  |  PDF Views: 153

Authors

Anuradha Dehiyan
Anatomy, Govt Medical College, Amritsar, Punjab, India
Rajan Kumar Singla
Anatomy, Govt Medical College, Amritsar, Punjab, India
Ravi Kant Sharma
Anatomy, Govt Medical College, Amritsar, Punjab, India
Gaurav Agnihotri
Anatomy, Govt Medical College, Amritsar, Punjab, India

Abstract


Arteria comitans nervi ischiadici or Persistent sciatic artery (PSA) is a rare congenital vascular anomaly with an incidence varying 0.025-0.04% . During routine dissection in department of anatomy an incomplete type of Persistent sciatic artery was found which is being reported here. Its oncogeny and phylogeny is also discussed in detail. Such a PSA is prone to atheromatous degeneration, thrombosis, distal thromboembolism, aneurysm formation and rupture. Although rare, the possibility of such an anomaly must be borne in mind with certain clinical presentations , during orthopedic procedures on the hip and during angiographic studies of the leg. Successful surgical correction of problems necessitates excluding the anomalous artery from the circulation while revascularizing the lower exterimity.

Keywords


Sciatic Artery, Persistent, Lower Limb.

References





DOI: https://doi.org/10.18311/ijmds%2F2014%2F80714