Dinçer UYSAL, Turhan YAVUZ, Kadir ÇEVİKER, Hakan DEMİRTAŞ, Kerim Yetiş BAŞ

From diagnosis to treatment of persistent sciatic artery: a revised review of the literature

Persistan siyatik arter çok nadir görülen bir doğuştan damar malformasyonudur. Siyatik arter, fetal yaşamdaki aksiyal arterin devamıdır ve internal iliyak arterleri popliteotibial damarlara bağlar. Femoral arter hipoplazisi, siyatik arterin devamlılık göstermesine neden olur ve böylece alt ekstremitenin baskın damarı haline gelerek, persistan siyatik arter adı verilen duruma yol açar. Persistan siyatik arter, anevrizma ve aterosklerotik darlık gelişmesine meyilli bir damarsal yapıdır. Genellikle anevrizma oluşumu veya alt ekstremite iskemisine veya anevrizma kitlesinin siyatik sinire basısı nedeni ile nörolojik semptomlara yol açan tromboembolik komplikasyonlar ile karakterizedir. Tanı ve sınıflama için anjiyografi teknikleri kullanılabilmekle birlikte, tanı ve takip için Doppler ultrasonografi kullanılabilir. Tedavi seçimi kararı, her hastanın genel durumuna, eşlik eden semptomlara ve hastalığın sınıflandırmasına bağlıdır. Başlangıçta, güvenli ve etkili sonuçlar ile günümüzde tedavi seçeneği olan endovasküler girişimler tercih edilebilir; ancak, dikkatli takip gereklidir

Tanıdan tedaviye persistan siyatik arter: Güncellenmiş literatür taraması

Persistent sciatic artery is a very rare congenital vascular malformation. Sciatic artery is the persistence of the axial artery in fetal life and connects the internal iliac arteries to the popliteotibial arteries. Femoral arterial hypoplasia causes the sciatic artery to persist and, therefore, becomes the dominant inflow to the lower extremity leading to the condition termed persistent sciatic artery. Persistent sciatic artery is a vascular structure which is prone to develop aneurysms and atherosclerotic stenosis. It is often characterized by aneurysm formation or thromboembolic complications causing lower extremity ischemia and neurological symptoms caused by compression of the aneurysm mass to the sciatic nerve. Angiography techniques can be used for the diagnosis and classification, while Doppler ultrasonography can be used for the diagnosis and follow-up. The decision on the treatment options depends on the overall condition of each patient, presenting symptoms, and classification of the disease. Endovascular interventions, which are the current treatment options, may be initially preferred with safe and effective results; however, careful follow-up is necessary

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