To report the successful coil embolization of a true gluteal artery aneurysm and review therapeutic options for this rare condition.
Methods and Results:
A ruptured superior gluteal artery aneurysm in a symptomatic 80-year-old man was successfully thrombosed by embolization using a combination of Gianturco coils and helical platinum microcoils. Six-month computed tomography demonstrated persistent thrombosis of the aneurysm and resolution of the perivascular blood.
Conclusions:
This report offers support for the use of catheter-based techniques as an alternative to standard surgical repair of gluteal artery aneurysms.
SchornBReitmeierFFalkV. True aneurysm of the superior gluteal artery: Case report and review of the literature. J Vasc Surg1995;21:851–854.
2.
MatasR. Surgery of the vascular system. In: KeenWWDaCostaJ, eds. Surgery, Its Principles and Practice, Vol. 5. Philadelphia, WB Saunders, 1909:340.
3.
SmythNP. Gluteal artery rupture. Ann Surg1968;167:273–276.
4.
BernsteinEF. Aneurysms of the gluteal and persistent sciatic arteries. In: YaoJSTPearceWH, eds. Arterial Surgery: Management of Challenging Problems. Stamford, CT, Appleton & Lange, 1996:327–334.
5.
BakkerKWGastLF. Retroperitoneal haemorrhage from the superior gluteal artery: A late complication of total hip arthroplasty. Clin Rheumatol1990;9:249–253.
6.
RankinRNYoungsonGGMcKenzieFN. Management of superior gluteal artery aneurysm by percutaneous balloon catheter occlusion: A case report. Surgery1979;85:235–237.
7.
VautheyJNMaddernGJBalsigerD. Superselective embolization of superior gluteal artery pseudoaneurysms following intramuscular injection: Case report. J Trauma1991;31:1174–1175.
8.
BenjaminJELachmanGS. A case of mycotic aneurysm of the gluteal artery. JAMA1924;82:1861–1862.
9.
GrandCDelcourCBankWO. Emergency embolization of a mycotic aneurysm of the superior gluteal artery: Case report. Cardiovasc Intervent Radiol1992;15:117–119.
10.
SchmalzriedTPEckardtJJ. Spontaneous gluteal artery rupture resulting in compartment syndrome and sciatic neuropathy. Clin Orthopaed Rel Res1992;275:253–257.
11.
GostigianJSchlittRJ. Aneurysm of the gluteal artery secondary to polyarteritis nodosa. Am J Surg1973;105:267–268.
12.
BattleWH. Case of traumatic gluteal aneurysm. Br Med J1898;2:1415.
13.
CullifordATCukinghamRAWorthMH. Aneurysms of the gluteal vessels: Their etiology and management. J Trauma1974;14:77–81.
14.
WilliamsWJacksonGFGreeneC. Superior gluteal artery aneurysm. J Trauma1977;17:477–479.
