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Case Reports
. 2019 Dec 5;90(12-S):184-186.
doi: 10.23750/abm.v90i12-S.8937.

Late bleeding during anterior approach to the hip: case Report

Marco Scaglia  1 , Alessandro Ditta, Bruno Magnan, Ugo Navarro, Marco Cassini
Affiliations
Case Reports

Late bleeding during anterior approach to the hip: case Report

Marco Scaglia et al. Acta Biomed. .

Abstract

Vascular injuries represent an uncommon complication of total hip arthroplasty, with an incidence of 0.1-0.3% as reported in the literature. The aim of the study is the description of a case of late bleeding in a female patient undergoing surgery for total hip arthroplasty in right osteoarthritis through direct anterior approach. The treatment carried out was a selective embolization of the main ascending branch of the lateral circumflex artery. This was performed by placing two spirals following an angiography, which was revealing an active spreading of contrast at the right femoral circumflex ascending artery. The effectiveness of endovascular techniques for the treatment of early and late bleeding after surgery is pointed out.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Active arterial bleeding on angio-CT scan
Figure 2.
Figure 2.
Active arterial bleeding on angio-CT scan
Figure 3.
Figure 3.
Active spreading of contrast solution at the right ascending femural circumflex artery on angiogram
Figure 4.
Figure 4.
Active spreading of contrast solution at the right ascending femural circumflex artery on angiogram
Figure 5.
Figure 5.
Spirals embolization on the main branch of the ascending one of the lateral circumflex artery
See this image and copyright information in PMC

References

    1. Kakwani R, Duggan J, Muller S. Femoral artery rupture during total hip arthroplasty. BMJ Case Rep. 2013 - PMC - PubMed
    1. Nachbur B, Meyer RP, Verkkala K, et al. The mechanisms of sever arterial injury in surgery of the hip joint. Clin Orthop Relat Res. 1979;2013:122–33. - PubMed
    1. Barrack RL, Butler RA. Avoidance and management of neurovascular injuries in total hip artrhtoplasty. Instr Course Lect. 2003;2013:267–74. - PubMed
    1. Ramus JR, Gibson M, Magee T, et al. Spontaneous rupture of the superficial femoral artery treated with endovascular stent-grafting. Cardiovasc Intervent Radiol. 2007;2013:1016–19. - PubMed
    1. Grob K, Monahan R, Gilbey H, Yap F, Filgueira L, Kuster M. Distal extension of the direct anterior approach to the hip poses risk to neurovascular structures: an anatomical study. J Bone Joint Surg Am. 2015 Jan 21;97(2):126–32. - PubMed

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