Arteriovenous fistula after arthroscopic synovectomy in a patient with haemophilia

Cohen, Bruce S; Griffiths, Laura; Dandy, David J.

doi:10.1016/0749-8063(92)90072-j

Cited by 22 publications

(8 citation statements)

References 8 publications

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“…In the paediatric study reported above, there was only one complication (development of a pseudoaneurysm) in 69 procedures (1AE4%) (Dunn et al, 2004). Others have reported early postoperative bleeding (Wiedel, 1996), two cases of an expanding portal haematoma (Heim et al, 1999), and the development of an arterial venous fistula (Cohen et al, 1992). Some patients have required a second procedure because of recurrent symptoms, although in some cases, these symptoms were related to arthritic changes rather than recurrent bleeding, and there was no evidence of synovitis at the time of the repeat surgery (Wiedel, 1996;Dunn et al, 2004).…”

Section: Arthroscopic Synovectomymentioning

confidence: 99%

Modern management of haemophilic arthropathy

2007

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SummaryCurrently available factor concentrates for treatment of patients with haemophilia are virally inactivated or are made by recombinant technology and their broad use in developed nations has resulted in the dramatic elimination of the treatment‐related viral illnesses that decimated the haemophilia community in the late 20th century. The major morbidity experienced by patients with haemophilia today is joint disease, a result of repeated bleeding episodes into joint spaces. Although administration of factor concentrates to prevent bleeding has been demonstrated to prevent haemophilic joint disease when applied assiduously, repeated bleeding episodes induce synovitis that is irreversible and may progress despite subsequent prophylaxis. Surgical and nuclear medicine interventions are available to reduce the pain of haemophilic arthropathy and to reduce further bleeding episodes. Patients with high titre inhibitors are at great risk for the development of joint disease and present the greatest therapeutic challenges when joint surgery is needed.

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Section: Arthroscopic Synovectomymentioning

confidence: 99%

Modern management of haemophilic arthropathy

2007

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“…Complications specifically related to arthroscopic surgery have been reported in two separate publications. In 1999 Heim [27] reported on two cases of expanding arthroscopic portal haematomasm and in 1992 Cohen [28] reported the development of an arterial venous fistula after an arthroscopic synovectomy.…”

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confidence: 99%

Arthroscopic synovectomy: state of the art

Wiedel

2002

Haemophilia

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Arthroscopic synovectomy for first performed for haemophilic arthropathy in 1980 and was considered a major improvement over open surgical synovectomy, causing less postoperative morbidity and fewer hospitalizations, and preserving range of motion. Long-term results have shown that recurrent haemarthroses are decreased and joint function is preserved. Radiographic changes, however, suggest continued progression of the disease process. The procedure is technically demanding and requires considerable resources including skilled personnel, surgical equipment and an adequate supply of factor concentrate, all of which limit the availability of the procedure worldwide. Where this procedure fits into the treatment of chronic haemophilic synovitis depends very much on location and availability of resources. Consequently, the procedure should not be considered as the first-line approach for recurrent haemarthroses, but rather as a secondary procedure if alternative measures have failed.

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“…11,12 Additional reports have discussed the presence of arteriovenous fistulas as the cause of a recurrent postoperative hemarthrosis in a patient undergoing knee arthroscopy. 13 A case of recurrent meniscal hematoma has been described as a cause of recurrent hemarthrosis as well. 14 An additional case of intra-articular nodular fasciitis was also found to be responsible for recurrent hemarthrosis.…”

Section: Discussionmentioning

confidence: 99%