Spontaneous recurrent haemarthrosis following unicompartmental knee arthroplasty and its successful treatment by coil embolisation

Is Embolization an Effective Treatment for Recurrent Hemorrhage After Hip or Knee Arthroplasty?

“…Other limitations include the relatively short followup (minimum of 1 year), which leaves open the possibility that these hemarthroses can recur, and the heterogeneity of the patient population in terms of diagnoses and presentations, which are typical of the condition, in our experience. During the last decade, case reports and other series reported satisfying results after transarterial embolization [1,3,5,7,9]. We found that transarterial embolization was well-tolerated and effective in six of seven patients; this tends to confirm and extend that experience.…”

Recurrent Hemarthrosis Following Knee Arthroplasty Treated with Arterial Embolization

“…If these measures do not resolve the patient's symptoms, an open or arthroscopic synovectomy was the recommended treatment option for a number of years [2,4]. Recently, arterial embolization has been described in a small number of cases as a novel method to treat recurrent hemarthrosis without the morbidity of surgical intervention [5][6][7][8][9]. The goal of this case series is to present the results of 13 consecutive cases of transcatheter arterial embolization for recurrent hemarthrosis after knee arthroplasty.…”

Selective arterial embolization with gelatin particles for refractory knee hemarthrosis

“…Sizes of particles chosen were 150-250 or 250-350 μm for PA and 500-700 μm for TAGM. Genicular arterial branches and/or the supra-articular popliteal artery were target arteries selectively embolized (4,(7)(8)(9)(10)(11)(12)(13)(14). In all cases reported, embolization was technically successful, with no clinical recurrence except for one.…”

“…In addition to surgical methods, case reports in which knee hemarthrosis was successfully treated by transarterial embolization, which is less invasive, have been published as listed in Table 2 (4,(7)(8)(9)(10)(11)(12)(13)(14). All but one of these reports describe treatment for recurrent hemarthrosis after total knee arthroplasty.…”