Work

Endovascular Coil Embolization and Plug Occlusion for Persistent Sciatic Artery Aneurysm - two-year follow-up

Year: 2026

Type: article

Abstract: Persistent sciatic artery (PSA) is a rare vascular anomaly prone to aneurysmal degeneration and thrombosis. We report a 52-year-old woman with a symptomatic Type 1 PSA aneurysm compressing the sciatic nerve, misdiagnosed as sciatica. She underwent endovascular treatment via contralateral femoral access, combining sac coil packing with proximal inflow occlusion using an Amplatzer vascular plug. Angiography confirmed complete exclusion with preserved distal perfusion, and symptoms resolved within 24 hours. Follow-up to two years confirmed persistent sac thrombosis, decreasing from 4x3x3 cm to 2.5x2.5x2 cm. This technique offers a safe, minimally invasive option for Type 1 PSA aneurysms at midterm follow-up.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102520

Authors: Rakshith Mohan, Pradip M. Abraham, Deepika Chandran, Roma Paul, Manoj S. Hambarde, Sunil Rajendran

Institutions: Royal Free London NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250