Case presentation: Arterial trauma secondary to hip arthroplasty.
Abstract
We present the case of a patient with an iatrogenic vascular lesion of the external circumflex femoral artery after a total hip arthroplasty.After the intervention the patient presented important anemia in repeated occasions, with thigh pain, that required evacuation of the hematoma. Nevertheless angio-CT, which was repeated 2 times, was negative for active bleeding. Finally the diagnosis of the lesion was made with an arteriography, and it was treated with endovascular surgery. We emphasize the importance of the care during the manipulation of the intervened limb and the objects used. We also explain how the diagnosis was suspected even though the commonly used diagnostic tools did not reveal the diagnosis, and there was no active bleeding, increasing the chances of overcoming the diagnosis of a lesion that is potentially life threatening if it is not resolved. We also highlight the advances on the treatment of these lesions with endovascular techniques, which reduce morbid-mortality when compared with the classic open surgery.Downloads
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