Management of the persistent sciatic artery with coexistent aortoiliac aneurysms; endovascular and open techniques.

Abstract

Patients with coexistent aortoiliac aneurysms and persistent sciatic artery (PSA) run the risk of postoperative complications. This can occur with open or endovascular procedures. EVAR with coiling of the internal iliac artery is one of the situations where ischemia may occur. We report a case where open aortic aneurysm repair with isolation and bypass of the PSA were performed with an excellent result. We recommend routine careful preoperative analysis of the CT angiogram and / or angiogram to rule out PSA.