Embolisation for aneurysm after knee replacement: brief report

Successful treatment of severe bleeding in hemophilic target joints by selective angiographic embolization

“…9 Even more, there are only a few reports on therapeutic embolization for postoperative bleeding after total arthroplasty of knee or hip joints in patients without hemophilia. 10,11 However embolization for other medical indications is not uncommon. For many years this procedure has been used successfully in treating patients without hemophilia, for ruptured intracranial aneurysms, obstetric hemorrhages, massive hemoptysis, or other types of massive bleeding and preoperatively in patients with well-vascularized tumors.…”

Therapeutic embolisation for postoperative haemorrhage after total arthroplasty of the hip and knee

“…2,6 Exact knowledge of the relationship of the neurovascular structures within the surgical field is essential to prevent these injuries. 2,3,6,17,18,21 The use of blunt rounded retractors is recommended. In revision of a total hip arthroplasty with marked acetabular protrusion preoperative angiography may be used to identify the relationship of the acetabular component to the neurovascular structures within the pelvis.…”

“…Severe pain, a pulsatile mass with decreasing haemoglobin levels or fresh bleeding, usually through the drains, are indications of a vascular complication. 2,6,11,18,21 Embolisation is preceded by diagnostic angiography, usually using a contralateral approach. 15,16 The exact anatomy of the lesion requiring treatment must be fully identified.…”

“…2,6,9,12 Percutaneous transcatheter embolisation of a false aneurysm associated with joint replacement surgery is a useful alternative to operative excision, and allows a simple resolution of postoperative haemorrhage. 1,3,4,7,8,10,11,[13][14][15][16][17][18][19][20] We describe three cases of postoperative bleeding, two after total hip and one after total knee replacement.…”

False Aneurysm—A Complication Following an Inversion Ankle Sprain: A Case Report

“…The incidence of false aneurysms in the knee and ankle of the civilian population are quite rare, being infrequently reported after gun shot wounds (7), meniscectomy (9), knee arthroscopy (15,21), and total knee replacement (19). False aneurysms of the peroneal artery following inversion ankle sprain are even more rare, with an extensive review of the English language literature revealing only four cases (l3, 14,17,18).…”