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Case Reports
. 2022 Feb 7;15(2):e247322.
doi: 10.1136/bcr-2021-247322.

Embolisation of superior gluteal artery pseudoaneurysm, after hip cephalomedullary nail revision

Mithun Nambiar  1   2 , David Ng  3 , Julian Maingard  1   2 , John Vrazas  4   5
Affiliations
Case Reports

Embolisation of superior gluteal artery pseudoaneurysm, after hip cephalomedullary nail revision

Mithun Nambiar et al. BMJ Case Rep. .
No abstract available

Keywords: hip prosthesis implantation; interventional radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A, B) Anteroposterior (AP) and lateral X-rays of a periprosthetic left hip fracture with cephalomedullary nail failure. (C, D) AP and lateral X-rays of revision cephalomedullary nail (InterTan, Smith & Nephew, Memphis, Tn, USA).
Figure 2
Figure 2
Axial CT scans, (A) precontrast image demonstrating a left gluteal haematoma, note that the patient had a recent contrast study and hence has contrast in the bladder, (B) arterial phase study demonstrating active site of extravasation (white arrow), (C) postcontrast portal venous phase study demonstrating pooling of contrast within the haematoma.
Figure 3
Figure 3
(A, B) Super-selective runs of the superior gluteal artery demonstrate the pseudoaneurysm, with extravasation of contrast causing a ‘blush’, as well as vessel irregularity as a result of vasospasm which is a physiological attempt at arresting the haemorrhage. (C, D) Postembolisation runs demonstrate coil and particle embolisation of the superior gluteal artery, and cessation of haemorrhage.
See this image and copyright information in PMC

References

    1. Ailaney N, O'Connell R, Giambra L, et al. Superior gluteal artery pseudoaneurysm following intramedullary nailing of an atypical femoral fracture. BMJ Case Rep 2019;12. 10.1136/bcr-2019-231490. [Epub ahead of print: 23 Oct 2019]. - DOI - PMC - PubMed
    1. Carroll C, Warren M, Nammour M, et al. Superior gluteal artery bleed after Cephalomedullary nail fixation. Ochsner J 2020;20:339–42. 10.31486/toj.19.0084 - DOI - PMC - PubMed
    1. Ward JP, Strauss EJ, Tejwani NC. Injury to the superior gluteal artery during intramedullary fixation of an atypical subtrochanteric stress fracture - a case report. Bull Hosp Jt Dis 2013;71:297–300. - PubMed

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