Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty

Tsujimoto, Ryu; Matsumoto, Tomoyuki; Takayama, Koji; Kawakami, Yoshiyuki; Kamimura, M; Matsushita, Takehiko; Kuroda, Ryosuke; Kurosaka, Masahiro

doi:10.1155/2015/672164

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…[ 10 ] An alternative cause of arterial vasospasm is arterial compression by surrounding soft tissue from manual manipulation during surgery which has been reported to cause acute arterial occlusion. [ 6 ] During the case highlighted in this report, there was no significant bleeding that would suggest direct injury to the popliteal artery when the tourniquet was taken down intra-operatively. Additionally, the vascular surgeon did not note any obvious direct injury to the popliteal artery.…”

Section: Discussionmentioning

confidence: 86%

“…Tsujimoto et al observed an acute popliteal artery occlusion in an 83-year-old male following revision TKA. [ 6 ] Inomata et al describe an acute arterial occlusion after bilateral TKAs in an 80-year-old Asian female. [ 7 ] Ohira et al described an acute popliteal thrombus in a 71-year-old male with calcium pyrophosphate dihydrate crystal deposition disease.…”

Section: Discussionmentioning

confidence: 99%

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Acute popliteal thrombus following total knee arthroplasty

et al. 2020

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Introduction: We report the youngest documented patient (38 years old) to develop an acute popliteal artery thrombus following primary total knee arthroplasty (TKA). Patient Concerns: The patient presented for an elective TKA secondary to posttraumatic arthritis. Past medical history included a tibial plateau fracture, two knee arthroscopies and an elevated body mass index (37.53). A right TKA was performed with no intraoperative complications. Two hours postoperatively, the right foot was poikilothermic and lacking dorsalis pedal pulse. Diagnosis: Popliteal artery thrombus confirmed by angiogram and venous duplex. Interventions: Immediate vascular surgery consult and subsequent embolectomy. Outcomes: At 1 year postoperatively, the patient is doing well with no further complications. Conclusion: Due to the lack of significant past medical history putting this patient at risk, future research should focus on prior trauma, age, and BMI as risk factors, specifically in patients undergoing TKA.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Acute popliteal thrombus following total knee arthroplasty

et al. 2020

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“…After careful search and screening, 36 studies with 47 cases of arterial occlusion after knee arthroplasty in the past 35 years (1984–2018) were included in the analysis (1 from the present study) (Table S1). Demographics, predisposing conditions, perioperative details, arterial occlusion information, and prognosis are shown in Tables .…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and Treatment of Arterial Occlusion after Knee Arthroplasty: The Sooner, the Better

Zeng

Xiang

Bian

et al. 2019

Orthopaedic Surgery

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Knee arthroplasty, including total knee arthroplasty (TKA) and unicondylar knee arthroplasty (UKA), is an effective procedure for patients with severe knee joint diseases. Arterial occlusion after knee arthroplasty is a rare but severe complication. However, there are few comprehensive reviews or analyses focusing on it. In this study, we presented a case of successful treatment of acute arterial occlusion of the popliteal artery after TKA by emergent balloon angioplasty, and conducted a review and analysis of published cases with this complication. After search and screening, 36 studies with 47 cases of arterial occlusion after knee arthroplasty in the past 35 years (1984–2018) were included. Among the 47 patients, there were 22 men and 25 women. The mean age was 68 years old. A total of 43 patients had primary TKA while 2 had revision surgery for TKA and 2 for UKA. For arterial occlusions, 66% presented symptoms in less than 1 day after knee surgery and 95% of the occlusion sites were around the popliteal artery. For treatment, 89% chose surgical treatment. Compared with conservative treatment, surgical treatment was more effective (P < 0.01). The patients who underwent surgical treatment less than 1 day after diagnosis had less sequelae (P < 0.05). For arterial occlusion after knee arthroplasty, we should pay attention to the perioperative risk factors and presentations, and diagnose and treat surgically at an early stage.

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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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Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty

Cited by 5 publications

References 17 publications

Acute popliteal thrombus following total knee arthroplasty

Acute popliteal thrombus following total knee arthroplasty

Diagnosis and Treatment of Arterial Occlusion after Knee Arthroplasty: The Sooner, the Better

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

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