{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:43:43Z","timestamp":1777941823678,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Objective: Persistence of the sciatic artery is a rare phenomenon in vascular surgery. It results from abnormal embryologic development, and where present in the absence of a femoral arterial system, it can have significant clinical implications for patients and can even be limb threatening. We present the case of a 69-year-old man with left-sided, short-distance claudication and rest pain, which caused concern for critical limb ischaemia. Methods: Computed tomography angiography revealed a persistent sciatic artery arising from the common iliac artery and resulting in an occluded popliteal artery. The patient underwent a double-bypass procedure to restore the arterial supply to the symptomatic limb. A left iliopopliteal Dacron graft bypass was performed, followed by a left iliopopliteal Dacron to posterior tibial bypass using the patient\u2019s great saphenous vein. The left sciatic artery was ligated proximally. Results:This allowed for restoration of arterial supply to the patient\u2019s left lower limb, relieving his claudication and rest pain. Conclusion: The key finding was the aneurysmal nature of the sciatic artery, reflecting the likely thromboembolic nature of the distal popliteal disease. Thus, our patient required not only a bypass procedure but also ligation of the native sciatic artery. Timely management is critical due to severity of consequences.<\/jats:p>","DOI":"10.1177\/15385744221084451","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T15:21:50Z","timestamp":1649690510000},"page":"509-513","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Popliteal Artery Occlusion in a Sole Sciatic Arterial System Requiring Complex Repair"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8127-8407","authenticated-orcid":false,"given":"Morwan","family":"Bahi","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Wellington Regional Hospital, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Wellington Regional Hospital, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Wellington Regional Hospital, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"issue":"8","key":"bibr1-15385744221084451","first-page":"1","volume":"54","author":"Charisis N","year":"2020","journal-title":"Vasc Endovascular Surg"},{"key":"bibr2-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X19841462"},{"key":"bibr3-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2011.02.017"},{"key":"bibr4-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.06.108"},{"key":"bibr5-15385744221084451","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.144.2.245"},{"key":"bibr6-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2020.08.034"},{"key":"bibr7-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1177\/153857440203600513"},{"key":"bibr8-15385744221084451","first-page":"241","volume":"45","author":"Belmir H","year":"2020","journal-title":"J Med Vasc"},{"key":"bibr9-15385744221084451","doi-asserted-by":"publisher","DOI":"10.1177\/1538574410364251"},{"key":"bibr10-15385744221084451","doi-asserted-by":"publisher","DOI":"10.2310\/6670.2010.00019"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744221084451","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15385744221084451","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744221084451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:32:48Z","timestamp":1777703568000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15385744221084451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,11]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1177\/15385744221084451"],"URL":"https:\/\/doi.org\/10.1177\/15385744221084451","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,11]]}}}