Embolization of traumatic pseudoaneurysms after total knee arthroplasty
We report on 2 cases of traumatic pseudoaneurysm after total knee arthroplasty. In one patient, a hemarthrosis and a pulsatile antecubital mass developed 1 month after arthroplasty, prompting angiography. In the second patient, evacuation of a large hemarthrosis was performed before angiography and...
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Veröffentlicht in: | The Journal of arthroplasty 2004, Vol.19 (1), p.123-128 |
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container_title | The Journal of arthroplasty |
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creator | Ibrahim, Mohannad Booth, Robert E Clark, Timothy W.I |
description | We report on 2 cases of traumatic pseudoaneurysm after total knee arthroplasty. In one patient, a hemarthrosis and a pulsatile antecubital mass developed 1 month after arthroplasty, prompting angiography. In the second patient, evacuation of a large hemarthrosis was performed before angiography and embolization. In both patients, the pseudoaneurysm was successfully treated without the need for surgical repair, using percutaneous thrombin injection or transcatheter embolization. No recurrence of hemarthrosis was seen in either patient at up to 24 months of follow-up evaluation. These cases show the use of angiography in reconstructed joints when acute or delayed hemarthrosis occurs, and the role of embolization techniques in this setting. |
doi_str_mv | 10.1016/j.arth.2003.08.007 |
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In one patient, a hemarthrosis and a pulsatile antecubital mass developed 1 month after arthroplasty, prompting angiography. In the second patient, evacuation of a large hemarthrosis was performed before angiography and embolization. In both patients, the pseudoaneurysm was successfully treated without the need for surgical repair, using percutaneous thrombin injection or transcatheter embolization. No recurrence of hemarthrosis was seen in either patient at up to 24 months of follow-up evaluation. These cases show the use of angiography in reconstructed joints when acute or delayed hemarthrosis occurs, and the role of embolization techniques in this setting.</description><subject>Aged</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, False - therapy</subject><subject>arthroplasty</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>embolization</subject><subject>Embolization, Therapeutic</subject><subject>Hemarthrosis - etiology</subject><subject>Hemarthrosis - therapy</subject><subject>Hemostatics - administration & dosage</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Popliteal Artery - injuries</subject><subject>Postoperative Complications - therapy</subject><subject>pseudoaneurysm</subject><subject>thrombin</subject><subject>Thrombin - administration & dosage</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFLxDAQhYMo7rr6BzxIT95aJ02apuBFZF2FBS96Dmkyxa7tZk1SYf31tuyCN0_DwPfezHuEXFPIKFBxt8m0jx9ZDsAykBlAeULmtGB5KjmIUzIHKVlacGAzchHCBoDSouDnZEZ5SYUQMCerZV-7rv3RsXXbxDVJ9Hrox80ku4CDdXqLg9-HPiS6ieiT6KLuks8tYjJd927X6RD3l-Ss0V3Aq-NckPen5dvjc7p-Xb08PqxTw6mMqQGsdVNyVgnTFFTUglFWcW6bEmhe6Qqsqcuq1NaMEAipc64bZHlpayYLyxbk9uC78-5rwBBV3waDXTf-6YagJEAFjMkRzA-g8S4Ej43a-bbXfq8oqKk-tVFTADXVp0Cqsb5RdHN0H-oe7Z_k2NcI3B8AHDN-t-hVMC1uDdrWo4nKuvY__1_VJYIu</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Ibrahim, Mohannad</creator><creator>Booth, Robert E</creator><creator>Clark, Timothy W.I</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Embolization of traumatic pseudoaneurysms after total knee arthroplasty</title><author>Ibrahim, Mohannad ; Booth, Robert E ; Clark, Timothy W.I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-c0ebaf74396cf516b6313944df70129a90dcb797adc743068a24afe327db385d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aneurysm, False - etiology</topic><topic>Aneurysm, False - therapy</topic><topic>arthroplasty</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>embolization</topic><topic>Embolization, Therapeutic</topic><topic>Hemarthrosis - etiology</topic><topic>Hemarthrosis - therapy</topic><topic>Hemostatics - administration & dosage</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Popliteal Artery - injuries</topic><topic>Postoperative Complications - therapy</topic><topic>pseudoaneurysm</topic><topic>thrombin</topic><topic>Thrombin - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ibrahim, Mohannad</creatorcontrib><creatorcontrib>Booth, Robert E</creatorcontrib><creatorcontrib>Clark, Timothy W.I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ibrahim, Mohannad</au><au>Booth, Robert E</au><au>Clark, Timothy W.I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Embolization of traumatic pseudoaneurysms after total knee arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2004</date><risdate>2004</risdate><volume>19</volume><issue>1</issue><spage>123</spage><epage>128</epage><pages>123-128</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>We report on 2 cases of traumatic pseudoaneurysm after total knee arthroplasty. 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subjects | Aged Aneurysm, False - etiology Aneurysm, False - therapy arthroplasty Arthroplasty, Replacement, Knee embolization Embolization, Therapeutic Hemarthrosis - etiology Hemarthrosis - therapy Hemostatics - administration & dosage Humans Male Middle Aged Osteoarthritis, Knee - surgery Popliteal Artery - injuries Postoperative Complications - therapy pseudoaneurysm thrombin Thrombin - administration & dosage |
title | Embolization of traumatic pseudoaneurysms after total knee arthroplasty |
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