scholarly journals Pseudoaneurysm of Popliteal Artery Complicating a Total Knee Replacement: a Successful Percutaneous Endovascular Treatment

2001 ◽  
Vol 21 (1) ◽  
pp. 81-83 ◽  
Author(s):  
Ph Plagnol ◽  
N Diard ◽  
P Bruneteau ◽  
V Roncheau
2010 ◽  
Vol 17 (02) ◽  
pp. 117-119 ◽  
Author(s):  
S. Shabat ◽  
G. Mann ◽  
A. Stern ◽  
M. Nyska ◽  
M. Witz

2018 ◽  
Vol 53 (2) ◽  
pp. 165-170
Author(s):  
Thiago Vivacqua ◽  
Murilo Barroso ◽  
Pedro Matos ◽  
Rodrigo Pires e Albuquerque ◽  
Naasson Cavanellas ◽  
...  

VASA ◽  
2007 ◽  
Vol 36 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Papas ◽  
Maltezos ◽  
Papanas ◽  
Antoniou ◽  
Lazarides

We report the case of a popliteal pseudoaneurysm following total knee replacement. A 70-year-old woman underwent total left knee replacement because of severe osteoarthritis. Eight days later, she presented with oedema and pain in her left calf. She had palpable foot pulses on the left leg and the ankle-brachial index was 0.98. The patient was treated for deep vein thrombosis. Two days later her calf pain and oedema deteriorated and her distal pulses were no longer palpable, while she developed limb coldness and paraesthesia, and the ankle-brachial index dropped to 0.4. Sonography was urgently performed indicating a large popliteal artery aneurysm (5.8 × 6.9 × 7.2 cm), confirmed by angiography. The patient was managed with removal of a 3.5 cm long segment of the popliteal artery and reconstruction with synthetic graft (PTFE 6 mm). Her condition soon improved and the patient is capable of walking approximately 1 km per day at 18-month follow-up.


Vascular ◽  
2014 ◽  
Vol 23 (5) ◽  
pp. 455-458 ◽  
Author(s):  
Anahita Dua ◽  
Reyna Zepeda ◽  
Francisco C Hernanez ◽  
Anthony A Igbadumhe ◽  
Sapan S Desai

Introduction The aim of this study was to characterize national characteristics of patients who have a total knee replacement complicated by popliteal artery injury by incidence and patient demographics. Methods All patients with ICD-9 confirmed total knee replacement who had an iatrogenic popliteal artery injury were included from the national in-patient sample from 1998 to 2011. Age, gender and race, procedure type, time to popliteal artery injury, limb outcome, length of stay and hospital inpatient charges were reported. Results A total of 1,297,369 patients underwent a total knee replacement of which 43 were complicated by popliteal artery injury (0.003%); 93% had osteoarthritis as their primary diagnosis. The mean age was 61.7 ± 12.3 years. In all, 96% of patients had their popliteal injuries detected intra-operatively or on the day of total knee replacement surgery. The majority of these patients either received stent placement (44%) or peripheral bypass (30%) as their treatment modality for popliteal artery injury. There were no amputations or deaths in this cohort. The median hospital charges for this group were $27,570 (2014 USD). Conclusion The national incidence of iatrogenic popliteal artery injury in patients undergoing TKR is 0.003%. There were no amputations in our study population and 96% of patients had their injury detected intra-operative or immediately post-operatively.


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