Transarterial embolization of an inferior genicular artery pseudoaneurysm with arteriovenous fistula after arthroscopy

Abstract

Arthroscopic meniscectomy of the knee is generally a safe and effective procedure with a low rate of vascular complications. We report here on a unique case of a 55-year-old man with a lateral inferior genicular artery pseudoaneurysm and a concomitant arteriovenous fistula that developed after arthroscopic meniscectomy; this was successfully treated with selective angiographic embolization. This case illustrates the effectiveness of an endovascular approach as a minimally invasive treatment for this uncommon complication that occurs after an arthroscopic procedure.

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

“…[51][52][53][54][55][56][57] Furthermore, this approach has also been frequently used for popliteal PSA/AVF after knee arthroscopy, either by stenting 11,33 or by embolization. 20,36,37,39,[43][44][45] In our case, endovascular repair was shown to be minimally invasive and successful as regards patency of the stent and occlusion of the AVF.…”

Inferior Lateral Genicular Artery Injury during Anterior Cruciate Ligament Reconstruction Surgery

“…Nowadays embolization has been used successfully in many cases of this type of injury [14, 18, 19]. Postulated as advantages of this technique are unneeded general anesthesia, minimal exposure with decreases the risk of infection.…”

Delayed diagnosis of a pseudoaneurysm with recurrent hemarthrosis of the knee joint

“…The percutaneous angiographic embolization with coils offers the advantages of a minimally invasive approach and may represent an effective and safe alternative to the gold standard of open surgical exploration [1,7,9,12,14,15].…”