Geniculate arterial pseudoaneurysm formation following trauma and elective orthopaedic surgery to the knee: 2 case reports and a review of the literature

Shaw, Aidan; Stephen, A. B.; Lund, Jonathan N.; Bungay, Peter M.; DeNunzio, Mario

doi:10.3941/jrcr.v3i3.42

Cited by 9 publications

(13 citation statements)

References 19 publications

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“…Most arise as complications from total knee arthroplasty, 7,8 while the few other cases have been documented following blunt force trauma 10,11 and internal fixation. 12 The most concerning feature of pseudoaneurysms is their often silent presentation. Rich et al 2 found that the diagnosis can be delayed from 1 to 30 days.…”

Section: Discussionmentioning

confidence: 99%

Descending Geniculate Artery Pseudoaneurysm Following Tibial Plateau Fracture

Cefalu¹,

Royals²,

Krause³

2017

Orthopedics

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Pseudoaneurysms are uncommon in patients with trauma, but can cause diagnostic difficulty and result in significant morbidity. Etiologies range from penetrating and nonpenetrating trauma to operative injury during fracture fixation, arthroscopy, total joint arthroplasty, and hardware loosening and removal. Pseudoaneurysms can conspicuously present as a pulsatile mass with an audible bruit, or as a subtly expanding hematoma. In either case, the complications can be serious if diagnosed late. The authors report a case of a pseudoaneurysm arising from the descending geniculate artery following a tibial plateau fracture. This was suspected following a slowly expanding hematoma and persistent anemia refractory to transfusion. Computed tomography angiography was used for confirmation. Successful treatment was accomplished with embolization, surgical evacuation of the hematoma, delayed skin grafting, and fracture fixation. The postoperative outcome was satisfactory, with complete wound healing, functional but decreased range of motion, normal perfusion distal to the injury, and the sole report of mild intermittent knee pain. [Orthopedics. 2017; 40(1):e188-e191.].

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Section: Discussionmentioning

confidence: 99%

Descending Geniculate Artery Pseudoaneurysm Following Tibial Plateau Fracture

Cefalu¹,

Royals²,

Krause³

2017

Orthopedics

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“…Surgical repair with vessel ligation, US-guided thrombin injection, and embolization have all been described as management for geniculate artery pseudoaneurysms, though surgery was performed in 75% of cases with primary embolization in 21% [1,2]. Embolic agents previously used with reported success include coils and gelfoam [3,4]. However, there remains a paucity of data on the relative efficacy of each agent and no prior direct comparisons with other forms of intervention.…”

Section: Glue Embolization Of a Traumatic Geniculate Artery Pseudoanementioning

confidence: 99%

Glue Embolization of a Traumatic Geniculate Artery Pseudoaneurysm

Carrier¹,

Knight²

2018

MICR

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Geniculate artery pseudoaneurysms are a rare but documented complication of arthroscopic intervention, trauma, or knee arthroplasty. Treatment options include open surgery and endovascular techniques; however, few reports have described the latter. Here, we describe a case of post-traumatic geniculate artery pseudoaneurysm successfully treated with glue embolization without subsequent complications and clinical improvement upon follow-up following operative debridement.

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“…Metode ini mempunyai tindakan invasif minimal dengan angka kesuksesan yang tinggi, komplikasi lebih sedikit serta angka kematian yang lebih kurang dibandingkan pembedahan. 20 Terapi intervensi yang terbaru termasuk kompresi dengan tuntunan USG, manajemen perkutaneus secara langsung (misalnya injeksi trombin dengan tuntunan USG) dan manajemen endovaskular (embolisasi dan implan stent-graft). Kompresi dengan tuntunan USG sangat bermanfaaat untuk pseudoaneurisma superfisial paska kateterisasi, seperti arteri femoralis dan brakhialis.…”

Section: Bahasanunclassified

Pseudoaneurisma Arteri Femoralis

Mewengkang¹,

Lefrandt²

2013

JBM

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Pseudoaneurysm is an accumulation of blood extravascularly in a space or cavity related to an artery, associated with disruptions of vessel layers. We reported a 51-year-old male with a pseuudoaneurysm of the left femoral artery. A lump in the left inguinal region occured due to a instrument wound during his fifth hemodialysis. The 6x5 cm-sized lump was hard, fixed, and painful in palpation, and had a bluish red center. A bruit was detected on auscultation. Diagnosis was based on the occurence of the lump in the inguinal region after the fifth hemodyalisis, a bruit on the lump, and a USG doppler examination that showed an aneurysm of the left femoral artery. The patient was operated on, and a pseudoaneurysm of the left femoral artery was found during the exploration. On day 36, the patient’s physical condition was improved and he was permitted to leave the hospital. From the pseudoaneurysm aspect, the prognosis of this patient was good, but in general the prognosis was dubia ad malam.Key words: pseudoaneurysm, femoral arteryAbstrak: Pseudoaneurisma atau aneurisma palsu adalah akumulasi darah ekstravaskuler dalam suatu rongga yang terhubung dengan arteri, disertai disrupsi lapisan pembuluh darah. Kami melaporkan kasus seorang laki-laki berusia 51 tahun dengan pseudoaneurisma arteri femoralis. Diagnosis ditegakkan berdasarkan gejala dan tanda klinis dimana ditemukan benjolan di lipat paha kiri yang timbul akibat tusukan pada saat menjalani hemodialis kelima, pemeriksaan fisik adanya bruit pada benjolan, dan USG doppler memperlihatkan adanya aneurisma arteri femoralis kiri. Pasien dilakukan pembedahan, dan pada saat eksplorasi ditemukan adanya pseudoaneurisma arteri femoralis kiri. Setelah perawatan hari ke-36, keadaan pasien membaik dan bisa dipulangkan. Prognosis pseudoaneurisma pada pasien ini baik, tetapi secara keseluruhan dubia ad malam.Kata kunci: pseudoaneurisma, ateri femoralis

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Geniculate arterial pseudoaneurysm formation following trauma and elective orthopaedic surgery to the knee: 2 case reports and a review of the literature

Cited by 9 publications

References 19 publications

Descending Geniculate Artery Pseudoaneurysm Following Tibial Plateau Fracture

Descending Geniculate Artery Pseudoaneurysm Following Tibial Plateau Fracture

Glue Embolization of a Traumatic Geniculate Artery Pseudoaneurysm

Pseudoaneurisma Arteri Femoralis

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