Totally Endovascular Management of Popliteal Artery Occlusion and Pseudoaneurysm Formation after Total Knee Replacement

Reynolds, Anthony; Sandstrom, Anna; Jha, Pankaj K.

doi:10.1016/j.avsg.2016.05.100

Cited by 19 publications

(15 citation statements)

References 14 publications

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“…Earlier investigations of pseudoaneurysms show that the patients are mostly males, like in our case [2,5,6,17], aged from 55 -60 years [6,18], and our patient was 41 years of age. Although pulsatile masses were found in all cases, mostly up to 6 cm in diameter, with knee contracture up to 40% on the right leg, described by Woolgar and associates [2], in our case there was a nonpulsatile mass, 9 cm in diameter, with knee contracture of 90% in the left leg.…”

Section: Discussionsupporting

confidence: 58%

“…The common causes of the pseudoaneurysms of the femoropopliteal segment include penetrating traumas [2], blunt traumas [3], fractures [4], previous medical procedures [5], infections [6], and in rare cases exostosis [7] and cystic adventitial diseases [8]. Since these rare lesions can be corrected, early detection and appropriate treatment should be a priority [9].…”

Section: Introductionmentioning

confidence: 99%

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A large idiopathic pseudoaneurysm of the popliteal artery: A case report

2018

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Introduction. Pseudoaneurysm, also known as a false aneurysm, is a collection of blood which passes through individual layers of the blood vessel or through all layers, but it is retained in the surrounding soft tissues. Case Report. We report presents a 41-yearold patient with a large idiopathic pseudaneurysm of the second segment of the popliteal artery, referred by an orthopedist with a magnetic resonance image of the left leg. The patient?s medical history showed that the pain started three weeks ago, the swelling in the left popliteal fossa about 6 months ago, and a large, painful, non-pulsatile tumefaction was found during the examination, resulting in a 90 degrees flexion contracture of the left knee. The magnetic resonance showed a pseudoaneurysm of the left popliteal artery, and an emergency computed tomography angiography was performed; it confirmed a pseudoaneurysm of the left leg second segment of the left popliteal artery without signs of obliterative diseases. The posterior approach and exposition of the popliteal artery was applied; autovenous graft interposition with a great saphenous vein of the right leg was done. Conclusion. Early diagnosis plays an important role in avoiding temporary and permanent complications. Arterial reconstruction with autovein grafting is a gold standard and a method of choice in the surgery of the pseudaneurysm of the popliteal artery. The temporary setting of occlusive Fogarty catheters reduces damage to the surrounding tissue, accelerates bleeding control, which together shortens the time of surgery.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

A large idiopathic pseudoaneurysm of the popliteal artery: A case report

2018

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“…Early arterial problems after TKA can be treated by open thrombectomy, bypass surgery, or endovascular methods. [17][18][19] Chang et al [20] reported preoperative DVT incidence as 2.6% per patient and 1.6% per knee by computed tomography/indirect venography. Preoperative prevalence and postoperative incidence of major DVT were reported as 2.5%.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty

Atilla¹

2019

Turk J Vasc Surg

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Objectives: This study aims to investigate the prevalence of venous and arterial diseases in asymptomatic patients undergoing total knee arthroplasty (TKA) and to evaluate possible surgery-related vascular complications. Patients and methods: The data of a total of 96 extremities of 48 vascular asymptomatic patients (9 males, 39 females; mean age 65.7±51.8 years; range, 50 to 85 years) who underwent arterial and venous bilateral Doppler ultrasound examination between October 2017 and February 2018 were retrospectively analyzed. Stenosis of the arterial and venous system thrombosis and venous insufficiency were recorded. Results: Although no significant vascular pathologies such as deep vein thrombosis or arterial occlusion were detected, minor vascular pathologies such as minimal atherosclerosis (29.2%) and venous reflux (25%) were found in patients scheduled for TKA. Conclusion: In most patients, TKA operations can be performed without a vascular comorbidity; however, even asymptomatic patients may carry vascular risks. These silent patients can be identified by simple non-invasive tests. Patients under risk are supposed to be consulted with vascular surgery before the operation and can be operated in the hospital setting where a vascular surgery unit is available. Recognizing the silent group with color Doppler ultrasound can be helpful and feasible in patients undergoing TKA to reduce complication rate and to take precautions.

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“…5,6 For instance, transplantation of vascular bundle into bone substitute scaffold could enhance bone formation in ectopic and orthotopic sites. 24,[32][33][34] Unfortunately, some pathologic conditions, such as vascular injury, diabetes and arterial occlusion, may result in limb ischemia, [9][10][11] which is a huge challenge for the successful treatment of bone fractures or defects in clinical. 9,13 The incidence of impaired bone healing was reported to be as high as 46% in fractures accompanied with vascular injuries.…”

Section: Angiogenesis and Osteogenesis In An Ischemic Environmentmentioning

confidence: 99%

“…Unfortunately, in some pathological conditions, such as trauma, diabetes and arterial occlusion, blood perfusion is severely impaired in the affected limbs. [9][10][11] Inadequate blood supply is a huge challenge for the successful treatment of bone fractures or defects. 9,12,13 It was reported that the delayed-and non-union rate were three times higher in patients with concomitant arteries disruption than those without vascular injury.…”

Section: Introductionmentioning

confidence: 99%