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In this series, risk for arterial injury associated with THA and TKA was remarkably low. Nonetheless, even at a high-volume orthopedic hospital, acute arterial injury was not recognized on the day of surgery in about half of patients. Judicious use of preoperative arteriography and aggressive revascularization are critical to achieving limb salvage. Simple arterial thrombectomy to treat ischemic complications of THA and TKA is rarely sufficient.

Systemic sepsis caused by prosthetic AVG infections mandates TGE. SGE and PGE can be safely employed in selected patients with infected prosthetic AVGs. SGE maintains patency of the underlying artery and avoids a difficult and time-consuming dissection. PGE offers the advantage of minimizing extensive dissection of well-incorporated uninfected graft segments and allows continued dialysis access at the incorporated portion of the graft.

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