Endovascular treatment of persistent sciatic artery aneurysm with the multilayer stent

Pietro Modugno, Mariangela Amatuzio, Carlo Maria De Filippo, Enrico Maria Centritto, Antonio Pierro, Luigi Inglese

Research output: Contribution to journalArticle

Abstract

Purpose: To describe the successful management of a symptomatic persistent sciatic artery (PSA) aneurysm using the Multilayer Aneurysm Repair System (MARS). Case Report: A 50-year-old man with history of smoking, hypertension, and hypercholesterolemia suddenly developed pain in the buttock radiating to the left lower limb, mimicking sciatica. The ∼57X54-mm incomplete type PSA aneurysm was treated with two 14X80- and 14X60-mm MARS devices through a surgical left axillary artery access. There were no periprocedural complications. Thirty-day imaging documented patency of the stents and a minor reduction (∼47X55 mm) in the aneurysm, with slightly hyperdense content and no signs of perfusion. At 6 months, duplex and computed tomographic angiography showed complete thrombosis of the sac, patency of the multilayer stents, and further aneurysm shrinkage (40X37 mm). Conclusion: The multilayer stent can alter the hemodynamics inside a peripheral aneurysm to promote sac thrombosis and redirect flow to collaterals originating from the sac.

Original languageEnglish
Pages (from-to)410-413
Number of pages4
JournalJournal of Endovascular Therapy
Volume21
Issue number3
DOIs
Publication statusPublished - 2014

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Keywords

  • Aneurysm
  • Multilayer stent
  • Persistent sciatic artery
  • Sac shrinkage
  • Sac thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Modugno, P., Amatuzio, M., De Filippo, C. M., Centritto, E. M., Pierro, A., & Inglese, L. (2014). Endovascular treatment of persistent sciatic artery aneurysm with the multilayer stent. Journal of Endovascular Therapy, 21(3), 410-413. https://doi.org/10.1583/13-4568R.1