Tratamento endovascular de aneurisma de artéria isquiática bilateral com stent recoberto autoexpansível Covera® - relato de caso

Luisa Silveira Birck; Rodrigo Damazzini; Wiliam Perdomo Nunes; Thiago Filomena Lombard; Joel Alex Longhi

doi:10.1590/1677-5449.202200641

Relato de Caso

Tratamento endovascular de aneurisma de artéria isquiática bilateral com stent recoberto autoexpansível Covera^® - relato de caso

Endovascular repair of bilateral sciatic artery aneurysm with Covera® self expandable covered stents - case report

Luisa Silveira Birck; Rodrigo Damazzini; Wiliam Perdomo Nunes; Thiago Filomena Lombard; Joel Alex Longhi

http://dx.doi.org/10.1590/1677-5449.202200641 J Vasc Bras, vol.22, e20220064, 2023

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Resumo

Resumo: A persistência da artéria isquiática é um remanescente embriológico da artéria ilíaca interna que ocorre em 0,03% a 0,06% da população, podendo evoluir com degeneração aneurismática. A presença do aneurisma pode levar a embolização, com aumento de risco de perda do membro, principalmente se a artéria isquiática for seu principal suprimento arterial. O tratamento do aneurisma de artéria isquiática está indicado sempre que diagnosticado, devido ao alto risco de complicações. Entre as opções de tratamento, estão o tratamento aberto convencional, o tratamento endovascular e o tratamento híbrido. No presente estudo, será descrito o caso de um paciente apresentando persistência completa das artérias isquiáticas bilateralmente, com degeneração aneurismática de ambas, corrigida de forma endovascular com stent recoberto Covera^® (Bard Medical, Geórgia, Estados Unidos).

Palavras-chave

aneurisma, isquiática, procedimentos endovasculares, stents metálicos autoexpansíveis, endopróteses

Abstract

A persistent sciatic artery is an embryological remnant of the internal iliac artery that occurs in 0.03% to 0.06% of the population and may develop aneurysmal degeneration. Aneurysms can lead to distal embolization with increased risk of limb loss, especially if the sciatic artery is the main arterial supply to the limb. A sciatic artery aneurysm must be treated whenever diagnosed, because of the high risk of complications. Treatment options include open, endovascular, or hybrid repair. This m anuscript d escribes a p atient w ith b ilateral p ersistence o f the sciatic arteries, both with aneurysmal degeneration, who underwent endovascular repair with Covera® (Bard Medical, Georgia-USA) covered stents.

Keywords

aneurysm; sciatica; endovascular procedures; self expandable metal stent; endoprosthesis

Referências

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Submetido em:
17/07/2022

Aceito em:
13/04/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">