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
Hauptverfasser: Ibrahim, Mohannad, Booth, Robert E, Clark, Timothy W.I
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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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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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