Cannulated Screw for Proximal Tibial Fracture Complicated by Iatrogenic Popliteal Pseudoaneurysm: Definitive Treatment by Ultrasound-Guided Thrombin Injection

Maleux, Geert; Thijs, Marleen; Heye, Sam; Vandekerkhof, Jos

doi:10.1097/01.ta.0000198553.65342.18

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Concerning treatment, the approach to managing popliteal pseudoaneurysms has progressed, witnessing an increasing adoption of endovascular and minimally invasive techniques. Options such as the injection of thrombin [ 27 ], coil embolization [ 28 ], and placement of an endovascular-covered stent [ 29 ] have gained prominence. Nevertheless, surgical intervention remains the primary treatment for pseudoaneurysms [ 5 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple Hereditary Exostoses instigating a popliteal pseudoaneurysm in a young Middle Eastern male: A case report and literature review

Hariri,

Al Laham,

Ibrahim Basha

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Multiple Hereditary Exostoses instigating a popliteal pseudoaneurysm in a young Middle Eastern male: A case report and literature review

Hariri,

Al Laham,

Ibrahim Basha

et al. 2024

International Journal of Surgery Case Reports

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“…No optimum management has been reported so far. Management options may include observation of small aneurysms, aiming at spontaneous thrombosis, thrombin injection in iatrogenic PSA, 50 and ultrasound compression therapy, which showed partial success. 20 Open surgical repair by excision, ligation of the popliteal branch, 38,40,50 inverted saphenous interposition graft or bypass, or primary repair of the defect has also been reported.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of Popliteal Artery Pseudoaneurysm With Arteriovenous Fistula After Knee Arthroscopy

Alserr

Antonopoulos

Papapetrou

et al. 2013

Vasc Endovascular Surg

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We report a case of postarthroscopic popliteal artery pseudoaneurysm (PSA) with arteriovenous fistula (AVF; PSA-AVF) in a 53-year-old woman who presented with limb edema, pain, and bruit 1 year after arthroscopic meniscectomy. She was treated percutaneously by covered stent deployment. After 6 months of follow-up, the patient was asymptomatic, with patency of the stent and occlusion of the AVF. A review of the literature was also performed to investigate the prevalence of postarthroscopic PSAs and highlight the endovascular approach of treatment. Endovascular approach with covered stent appears to be less invasive and might be an effective and feasible way of treatment of postarthroscopic popliteal PSA-AVF.

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“…The management of popliteal pseudoaneurysms in general has evolved with increasing use of minimally invasive and endovascular techniques. Thrombin injection, coil embolization and endovascular‐covered stent placement have all been used to manage pseudoaneurysms in the acute setting. Endovascular stent grafting, unless combined with ultrasound‐guided aspiration of haematoma, fails to deal with any mass effect from the pseudoaneurysm but more importantly does not address the underlying bony lesion, risking recurrence.…”

mentioning

confidence: 99%

Popliteal pseudoaneurysm secondary to multiple hereditary exostoses

Jamieson

Dengu

Porter

et al. 2014

ANZ Journal of Surgery

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The popliteal artery is the most common site of peripheral aneurysmal formation. Arteriosclerosis, syphilis and mycotic infection are the most common etiological factors while in young adults, the aneurysm is often of the false type and caused by trauma. 1,2 Osteochondroma around the knee joint can give rise to such pathology that was first described by Brailsfords in 1953 3,4 followed by a more detailed account by Paul in the same year. 5 Since that time, approximately 27 cases have been reported in the English literature, including ours. 6-10,16,20-22 Case Report A 23-year-old Saudi male was referred from another hospital with a history of severe pain and swelling in the right lower limb which occurred during jogging. The patient experienced difficulty in walking due to the pain and the decreased movement of the knee, but no pain at rest. There was a family history of hereditary multiple exostoses (HME). Physical examination showed diaphoretic skin, marked swelling of the right posterior lower extremity distal to the mid thigh primarily behind the knee. There was increased warmth and tenderness and palpable popliteal pulse. A thrill was reported early at the referring hospital, but disappeared after arrival at our hospital. All pedal pulses were palpable. The ankle/brachial pressure was 0.8. We recommended medical advice and treatment to the members of the family who were suffering from HME but the family refused. Investigation Plain x-ray showed multiple osteochondroma over the left shoulder and left knee (Figure 1). Computed tomography (CT) and angiogram showed a false aneurysm at the popliteal artery with bony spikes originating from both femurs (Figures 2 and 3). This was performed in the referral hospital. Magnetic resonance imaging (MRI) performed at our hospital confirmed the presence of a large pseudoaneurysm which showed areas of decreased signal, signifying flow and a small area of hematoma seen medially (Figure 4).

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Cannulated Screw for Proximal Tibial Fracture Complicated by Iatrogenic Popliteal Pseudoaneurysm: Definitive Treatment by Ultrasound-Guided Thrombin Injection

Cited by 6 publications

References 18 publications

Multiple Hereditary Exostoses instigating a popliteal pseudoaneurysm in a young Middle Eastern male: A case report and literature review

Multiple Hereditary Exostoses instigating a popliteal pseudoaneurysm in a young Middle Eastern male: A case report and literature review

Endovascular Repair of Popliteal Artery Pseudoaneurysm With Arteriovenous Fistula After Knee Arthroscopy

Popliteal pseudoaneurysm secondary to multiple hereditary exostoses

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