Pseudoaneurysm of the external iliac artery is a rare late complication after total hip arthroplasty

Fukuhara, Shinji; Kanki, Sachiko; Daimon, Masahiro; Shimada, Ryo; Ozawa, Hideki; Katsumata, Takahiro

doi:10.1016/j.jvscit.2017.04.006

Cited by 5 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pseudoaneurysm of the external iliac artery is a well-described complication after THA with several documented case reports and series in the literature [ [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] ]. The most common proposed causes of these pseudoaneurysms are a malpositioned retractor, migration of acetabular cups, and even migrated cement fragmentation after placement of a cemented femoral stem [ 21 , 24 , 25 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida

Smith

Sridhar

2020

Arthroplasty Today

View full text Add to dashboard Cite

We present a bleeding, infected (mycotic) pseudoaneurysm from the organism Pasteurella multocida . The patient presented septic from an infected total hip arthroplasty and was treated with surgical debridement, component retention, and antibiotics. She re-presented with hip pain and a marked hemoglobin decrease. Vascular studies revealed a pseudoaneurysm of the external iliac artery and large hematoma secondary to contiguous spread of her hip infection. The pseudoaneurysm was treated with an endovascular stent before further debridement surgery to avoid exsanguinating hemorrhage with surgical release of her tamponade. This case demonstrates the utmost importance of recognizing and treating vascular pathology in a patient with an infected prosthetic hip, large hematoma, and decreased hemoglobin.

show abstract

Section: Introductionmentioning

confidence: 99%

Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida

Smith

Sridhar

2020

Arthroplasty Today

View full text Add to dashboard Cite

show abstract

“…Few cases of delayed external iliac artery pseudoaneurysm have been reported. Of the cases reported, most occurred following complications after total hip arthroplasty [ 11 ]. A predisposing factor of this complication is implant infection, which results in the loosening and migration of the acetabular component and damage to external iliac vessels [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Delayed Presentation of Sciatic Nerve Palsy Due to Post-traumatic Pseudoaneurysm Following Pelvis Fracture: A Case Report

Fried¹,

Lipphardt²,

Moore³

2023

JOCR

View full text Add to dashboard Cite

Introduction: Pseudoaneurysms are vascular lesions occurring after injury to a blood vessel wall. Peripheral artery pseudoaneurysms as a fracture complication are uncommon and typically appear immediately after trauma or surgery. We report a unique case of sciatic nerve palsy associated with external iliac artery pseudoaneurysm arising 20 years after pelvic trauma, presenting within the fracture site as an erosive bone lesion masquerading as a possible malignancy. To the best of our knowledge, no cases of delayed external iliac artery pseudoaneurysm involving sciatic pain have been reported. Case Report: We present a 78-year-old female who sustained an acetabular fracture with an uneventful recovery for 20 years. The patient presented post-injury with symptoms and physical examination findings consistent with sciatic nerve palsy. Computed tomography angiography and duplex imaging revealed a pseudoaneurysm of the external iliac artery. The patient was taken to the operating room for endovascular repair of the external iliac artery using a covered stent. Conclusion: This case of sciatic nerve palsy is a unique contribution to the literature concerning the specific vascular injury observed and the delayed presentation of pseudoaneurysm causing sciatic nerve palsy. Orthopedic surgeons must consider a wide differential when confronted with suspicious pelvic masses. Failure to diagnose these as a vascular etiology could prove catastrophic should the surgeon attempt an open debridement or sampling. Keywords: Pseudoaneurysm, false aneurysm, sciatic nerve palsy, pelvis fracture, bone lesion.

show abstract

“…Proschek et al [23] also reported on a patient who developed common femoral PSA as a result of a malpositioned acetabular screw and presented with a painful groin mass 2 months postoperatively. Fukuhara et al [26] published a case of external iliac PSA 2 years after revision THA, thought to be secondary irritation of the artery by an osteophyte. In their case, the patient presented with thrombosis and acute limb ischemia.…”

Section: Discussionmentioning

confidence: 99%

“…External iliac artery PSA can also occur from infection [28], [29], [30], [31], [32], [33], [34], [35], acetabular periprosthetic fracture [30], acetabular component migration [27], [30], [31], [32], [33], [36], intrapelvic extravasation of cement [37], prior irradiation [29], and a prominent osteophyte after revision THA [26]. Acetabular screw irritation of the EIA has previously been implicated in the formation of these lesions, but, to our knowledge, this has been universally described in the setting of component migration, and frequently concurrent infection [23], [27].…”

Section: Discussionmentioning

confidence: 99%

External iliac pseudoaneurysm secondary to medial wall penetration of an acetabular screw: a rare cause of total hip arthroplasty failure 15 years after implantation

et al. 2019

View full text Add to dashboard Cite

Vascular injury as a result of total hip arthroplasty (THA) represents an uncommon complication. Although these injuries typically present acutely, delayed presentation has been reported. In this case, a 70-year-old female presented with groin pain and medial thigh numbness 15 years after a left THA. After initially being misdiagnosed, repeat imaging revealed a large external iliac pseudoaneurysm as a result of a transacetabular screw penetrating the medial acetabular wall. The patient underwent staged endovascular exclusion of the pseudoaneurysm, percutaneous drainage, and revision THA. She had resolution of her symptoms. To our knowledge, this is the only reported case of a late vascular injury related to an aseptic THA with well-fixed components. Staged treatment with endovascular exclusion and revision THA is a viable approach.

show abstract

Pseudoaneurysm of the external iliac artery is a rare late complication after total hip arthroplasty

Cited by 5 publications

References 14 publications

Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida

Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida

Delayed Presentation of Sciatic Nerve Palsy Due to Post-traumatic Pseudoaneurysm Following Pelvis Fracture: A Case Report

External iliac pseudoaneurysm secondary to medial wall penetration of an acetabular screw: a rare cause of total hip arthroplasty failure 15 years after implantation

Contact Info

Product

Resources

About