Ces radiol. 2019, 73(1):19-23 | DOI: 10.55095/CesRadiol2019/004

Endovascular treatment of iatrogenic arterial injury following lower limb orthopedic surgeryCase report

Michal Hůlek1, Vendelín Chovanec1, Ondřej Renc1, Ondřej Živný1, Milan Vajda1, Jana Draganovičová1, Jan Raupach1, Igor Guňka2, Antonín Krajina1
1 Radiologická klinika LF UK a FN, Hradec Králové
2 Chirurgická klinika LF UK a FN, Hradec Králové

Our two case reports represent endovascular treatment of feared and potentially devastating iatrogenic arterial injuries during orthopedic surgery of the hip and knee. First case describes an endovascular reconstruction of pseudoaneurysm of popliteal artery after total knee replacement. A selfexpandable stentgraft was implanted via endovascular approach and no other complications appeared postoperatively. Second case conveys a story of female patient with total hip endoprosthesis complicated by periprosthetic fracture. Upcoming operation resulted in superficial femoral artery occlusion, which was treated with thrombaspiration and selfexpandable stentgraft implantation. This patient however, owing to overall frailty, expired later by causes unrelated with endovascular procedure. Our paper briefly points that endovascular treatment is highly effective and safe method and should be considered as the option of the first choice.

Keywords: endovascular treatment, hip replacement, iatrogenic complication, stentgraft, vascular complication

Accepted: March 24, 2019; Published: March 1, 2019  Show citation

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Hůlek M, Chovanec V, Renc O, Živný O, Vajda M, Draganovičová J, et al.. Endovascular treatment of iatrogenic arterial injury following lower limb orthopedic surgery. Ces radiol. 2019;73(1):19-23. doi: 10.55095/CesRadiol2019/004.
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