{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:40:11Z","timestamp":1756323611166,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,18]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Persistent sciatic artery is an uncommon congenital lower limb vascular variant resulting from persistent embryonic vasculature. While up to 20% of individuals remain asymptomatic, the most frequently seen complication associated with this artery is the development of a pseudoaneurysm in the gluteal region (48%). Pseudoaneurysms may result in thrombosis, embolisation into distal vessels and radicular pain due to compression of the adjacent sciatic nerve.<\/jats:p>\n               <jats:p>We present the case of a gentleman in his mid-50s with complaints of neuropathic lower limb pain secondary to sciatic nerve compression by a pseudoaneurysm of persistent sciatic artery, which was excluded from circulation using an endovascularly placed stent graft. Follow-up ultrasound (US) on post-op day 1 revealed thrombosis of the pseudoaneurysm with complete resolution of neuropathic pain, and the patient remaining pain-free at 1 year. Knowledge of this uncommon variant, with its varied presentations, can aid early diagnosis and planning of effective, minimally invasive endovascular management techniques.<\/jats:p>","DOI":"10.1136\/bcr-2025-266302","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T10:25:18Z","timestamp":1751279118000},"page":"e266302","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare cause of sciatic neuropathy: persistent sciatic artery pseudoaneurysm managed by endovascular stent graft placement"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3791-6907","authenticated-orcid":false,"given":"Sanchita","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5309-342X","authenticated-orcid":false,"given":"Rajendra Kumar","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5505-9910","authenticated-orcid":false,"given":"Anita","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Surgical disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shivanand","family":"Gamanagatti,","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"2025082712250413000_18.6.e266302.1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.avsg.2009.08.020","article-title":"Persistent sciatic artery","volume":"24","author":"Santaolalla","year":"2010","journal-title":"Ann Vasc Surg"},{"key":"2025082712250413000_18.6.e266302.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.01.014"},{"key":"2025082712250413000_18.6.e266302.3","doi-asserted-by":"crossref","unstructured":"Sainz Gonz\u00e1lez F , S\u00e1nchez Gal\u00e1n \u00c1 , Lorente A , et al . Persistent sciatic artery: A case report and literature review. Neurocirugia (Engl Ed) 2021;33. doi:10.1016\/j.neucir.2021.03.006","DOI":"10.1016\/j.neucie.2022.02.001"},{"key":"2025082712250413000_18.6.e266302.4","first-page":"189","article-title":"Persistent Sciatic Artery: A Favorable Anatomic Variant in a Setting of Trauma","volume":"17","author":"Shaffer","year":"2017","journal-title":"Ochsner J"},{"key":"2025082712250413000_18.6.e266302.5","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.ejvs.2016.05.007","article-title":"Treatment Strategy for Persistent Sciatic Artery and Novel Classification Reflecting Anatomic Status","volume":"52","author":"Ahn","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025082712250413000_18.6.e266302.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-233742","article-title":"Bilateral persistent sciatic arteries: a rare anatomical variant","volume":"13","author":"Sinha","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082712250413000_18.6.e266302.7","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1177\/1538574419899034","article-title":"Endovascular Treatment of Persistent Sciatic Artery Aneurysms With Primary Stenting: A Systematic Review of the Literature","volume":"54","author":"Charisis","year":"2020","journal-title":"Vasc Endovascular Surg"},{"key":"2025082712250413000_18.6.e266302.8","doi-asserted-by":"crossref","first-page":"100062","DOI":"10.1016\/j.avsurg.2022.100062","article-title":"Persistent sciatic artery aneurysm presenting with acute limb ischemia: case report and review of the literature","volume":"2","author":"Mann","year":"2022","journal-title":"Ann Vasc Surg- Brief Rep Innov"},{"key":"2025082712250413000_18.6.e266302.9","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.jvir.2024.04.013","article-title":"Safety and Effectiveness of Endovascular Treatment of Complications Associated with Persistent Sciatic Artery: A Qualitative Systematic Review","volume":"35","author":"Koike","year":"2024","journal-title":"J Vasc Interv Radiol"},{"key":"2025082712250413000_18.6.e266302.10","doi-asserted-by":"crossref","first-page":"246","DOI":"10.3400\/avd.cr.17-00021","article-title":"Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm","volume":"10","author":"Fukuda","year":"2017","journal-title":"Ann Vasc Dis"},{"key":"2025082712250413000_18.6.e266302.11","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1016\/j.asjsur.2022.10.014","article-title":"Doppler ultrasound reveals the persistent sciatic artery","volume":"46","author":"Jia","year":"2023","journal-title":"Asian J Surg"},{"key":"2025082712250413000_18.6.e266302.12","doi-asserted-by":"crossref","first-page":"100168","DOI":"10.1016\/j.avsurg.2023.100168","article-title":"Hybrid treatment of persistent sciatic artery aneurysm: Two cases, long term follow-up and literature review","volume":"3","author":"Accarino","year":"2023","journal-title":"Ann Vasc Surg- Brief Rep Innov"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:25:13Z","timestamp":1756322713000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":12,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,30]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2025-266302"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266302","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}