Profunda femoris artery pseudoaneurysm following orthopaedic procedures

Hanna, George B.; Holdsworth, R. J.; McCollum, P.T.

doi:10.1016/0020-1383(94)90279-8

Cited by 51 publications

(30 citation statements)

References 8 publications

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“…3 In the presence of on-going thigh pain and swelling following an intertrochanteric femoral fracture, the diagnosis of pseudo-aneurysm of the profunda femoris artery should be considered. We recommend the consideration of early angiography as a diagnostic and therapeutic intervention, especially in patients with a co-existent coagulopathy, to minimise the significant morbidity associated with these cases.…”

Section: Discussionmentioning

confidence: 99%

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Pseudo-aneurysm of the profunda femoris artery as a late complication of hip fracture in a patient with myelodysplasia

Cowley

Williams²,

Butler³

et al. 2007

Ann R Coll Surg Engl

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Section: Discussionmentioning

confidence: 99%

“…A pulsatile swelling may or may not be present. [1][2][3][4]7 We report a pseudo-aneurysm of the profunda femoris that presented 6 weeks after dynamic hip screw fixation of a proximal femoral fracture in a patient with myelodysplasia and a coagulopathy of unknown cause.…”

mentioning

confidence: 99%

Pseudo-aneurysm of the profunda femoris artery as a late complication of hip fracture in a patient with myelodysplasia

Cowley

Williams²,

Butler³

et al. 2007

Ann R Coll Surg Engl

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“…Many years later, these injuries presented as pseudoaneurysm of the axillary artery with limb ischaemia due to distal embolisation [1][2][3][4][5][6], as observed in the 1st patient. Cases of acute ischaemia caused by orthopaedic screws to the subclavian [7], profunda femoris [8,9] and the popliteal arteries [10][11][12] have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Vascular Injuries Caused by Orthopaedic Screws

Safar

Emad²,

Nakhi³

et al. 2004

Med Princ Pract

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Objective: To describe 3 cases of vascular injuries due to orthopaedic procedures. Clinical Presentation and Intervention: Of 242 vascular injuries, 3 were due to orthopaedic screws. The 1st patient presented with a late complication (after 3 years) of an orthopaedic screw placed in close proximity to the axillary artery that with time got eroded and leaked to form a false aneurysm which later caused embolisation to the arm and limb ischaemia. The 2nd and 3rd cases were due acute ischaemia following the orthopaedic procedures. Both were injuries to the popliteal artery, one after a long screw and the other after drilling the tibia. The aneurysm of the 1st case was resected, the screw was removed and a reversed segment of the right long saphenous vein was used to repair the axillary artery. In the 2nd patient, a bypass of the left popliteal artery to the tibio-peroneal trunk was performed using a reversed 12-cm-long saphenous vein graft retrieved from the right thigh. In the 3rd patient, the right popliteal vein was ligated, and a reversed 25-cm-long saphenous vein graft retrieved from the left thigh was used for a femoro-popliteal bypass. For the 3 patients, postoperative recovery was unremarkable. Pulses were present within 6–10 months of follow-up. Conclusions: Whenever limb vascularity is compromised after an orthopaedic procedure, a high index of suspicion for an arterial injury should be exercised and prompt referral to the vascular service is mandatory. Repair of injured vessels with a saphenous vein graft provides excellent long-term results.

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“…False aneurysm of the profunda artery following dynamic hip screw (DHS) osteosynthesis is uncommon [1]. Symptoms usually become manifest by a sudden onset of pain and swelling of the upper thigh due to hemorrhage [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Contrast-enhanced CT scan and angiography confirm the diagnosis. In previously reported cases of iatrogenic false aneurysm of the profunda artery, surgical repair (ligation and excision, suture of the arterial defect) has been advocated [1][2][3][4][5][6]. However, direct treatment at the time of diagnosis by means of embolization would save time and eliminate the risks associated with a possible surgical procedure.…”

Section: Introductionmentioning

confidence: 99%