Acute Iliac and Femoral Arterial Thrombosis Secondary to Total Hip Arthroplasty

Nikola Fatic; Nenad Zornic; Nemanja Radojevic; Nikola Bulatovic

doi:10.3889/oamjms.2014.113

Authors

Nikola Fatic Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica
Nenad Zornic Clinical Centre of Kragujevac, Faculty of Medicine, University of Kragujevac, Kragujevac
Nemanja Radojevic Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica
Nikola Bulatovic Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica

DOI:

https://doi.org/10.3889/oamjms.2014.113

Keywords:

acute thrombosis, iliac arthery, femoral artery, hip arthroplasty

Abstract

In the presented case report, we evaluated the mechanism of the external iliac, the common femoral and the superficial femoral arterial thrombosis secondary to total hip arthroplasty. A 75-year-old female sufferd from 5.5 cm shorter left lower limb and same sade coxarthritis. Next day after arthroplasty and eqalisation of the lower limbs, an acute ishemia of the treated leg was presented. Multyscan CT angiography revealed the presence of the external iliac, the common femoral and the superficial femoral arterial thrombosis. From the best of our knowledge, it seems to be the only case of this arterial segment thrombosis after total hip arthroplasty and equalistaion of the lower limbs reported.

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References

Shoenfeld NA, Stuchin SA, Pearl R, Haveson S. The management of vascular injuries associated with total hip arthroplasty. J Vasc Surg. 1990;11:549-55. DOI: https://doi.org/10.1016/0741-5214(90)90301-P

Leiva L, Arroyo A, Gil J, RodrÃguez AI, Abarrategui C, Lobato M, Gesto R. Arterial trauma in hip arthroplasty. Cir Esp. 2008;83:125-8. DOI: https://doi.org/10.1016/S0009-739X(08)70526-8

Wilson JS, Miranda A, Johnson BL, Shames ML, Back MR, Bandyk DF. Vascular injuries associated with elective orthopedic procedures. Ann Vasc Surg. 2003;17:641-4. DOI: https://doi.org/10.1007/s10016-003-0074-2

Abularrage CJ, Weiswasser JM, Dezee KJ, Slidell MB, Henderson WG, Sidawy AN. Predictors of lower extremity arterial injury after total knee or total hip arthroplasty. J Vasc Surg. 2008;47:803-7; discussion 807-8. DOI: https://doi.org/10.1016/j.jvs.2007.11.067

Nachbur B, Meyer RP, Verkkala K, ZÃ¼rcher R. The mechanisms of severe arterial injury in surgery of the hip joint. Clin Orthop Relat Res. 1979;141:122-33. DOI: https://doi.org/10.1097/00003086-197906000-00014

Calligaro KD, Dougherty MJ, Ryan S, Booth RE. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg. 2003;38:1170-7. DOI: https://doi.org/10.1016/S0741-5214(03)00918-2

The STILE Trial: results of a prospective randomized trial evaluating Surgery versus Thrombolysis for Ischemia of the Lower Extremity. Ann Surg. 1994;220:251-266. DOI: https://doi.org/10.1097/00000658-199409000-00003

Blaisdell FW, Steele M, Allen RE. Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery. 1978;84:822-834.

Campbell WB, Rider BMF, Szymanska TH. Current management of acute leg ischemia: results of audit by the Vascular Surgical Society of Great Britain and Ireland. Brit J Surg. 1999;85:1498-1503. DOI: https://doi.org/10.1046/j.1365-2168.1998.00906.x

Nypaver TJ, Whyte BR, Endean ED, et al. Nontraumatic lower-extremity acute arterial ischemia. Am J Surg. 1998;176:147-152. DOI: https://doi.org/10.1016/S0002-9610(98)00163-9

Pemberton M, Varty K, Nydahl S, et al. The surgical management of acute limb ischemia due to native vessel occlusion. Eur J Vasc Endovasc Surg. 1999;17:72-76. DOI: https://doi.org/10.1053/ejvs.1998.0709

Ouriel K, Shortell CK, DeWeese JA, et al. A comparison of thrombolytic therapy with operative revascularization in the initial treatment of acute peripheral arterial ischemia. J Vasc Surg. 1994;19:1021-1030. DOI: https://doi.org/10.1016/S0741-5214(94)70214-4

Ouriel K, Veith FJ, Sasahara AA, for the Thrombolysis or Peripheral Arterial Surgery (TOPAS) investigators. A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. N Engl J Med. 1998;338:1105-1111. DOI: https://doi.org/10.1056/NEJM199804163381603

Hopfner W, Vicol C, Bohndorf K, et al. Shredding embolectomy thrombectomy catheter for treatment of acute lower-limb ischemia. Ann Vasc Surg. 1999;13:426-435. DOI: https://doi.org/10.1007/s100169900278

Wagner H-J, MÃ¼ler-HÃ¼lsbeck S, Pitton MB, et al. Rapid thrombectomy with a hydrodynamic catheter: results from a prospective, multicenter trial. Radiology. 1997;205:675-681. DOI: https://doi.org/10.1148/radiology.205.3.9393520

Silva JA, Ramee SR, Collins TJ, et al. Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: immediate results and six-month follow-up of the multicenter Angiojet registry. Cathet Cardiovasc Diagn. 1998;45:386-393. DOI: https://doi.org/10.1002/(SICI)1097-0304(199812)45:4<386::AID-CCD7>3.0.CO;2-Q

Henry M, Amor M, Henry I, et al. The Hydrolyser thrombectomy catheter: a single-center experience. J Endovasc Surg. 1998;5:24-31. DOI: https://doi.org/10.1177/152660289800500106