Total kalça artroplastisi sonrası sıra dışı bir komplikasyon: Medial sirkumfleks femoral arter psödoanevrizması

Öz

Çalışmamızda, çimentosuz total kalça artroplastisini takiben 4 ay sonra ortaya çıkan bir medial sirkumfleks femoral arter psödoanevrizma olgusu bildiriyoruz. Süper-selektif kateterizasyon ve koil embolizasyon yöntemi kullanılarak başarılı bir embolizasyon işlemi gerçekleştirilmiştir. Total kalça artroplastisi ile ilgili arteriyel komplikasyonlar oldukça nadir olmakla beraber, tedavide endovasküler tekniklerin daha etkili ve konvansiyonel cerrahi işlemlere alternatif olduğu düşünülmektedir.

Anahtar Kelimeler

• Anevrizma; femoral arter; koil embolizasyon; total kalça replasmanı; vasküler komplikasyon.

An unusual complication following total hip arthroplasty: median circumflex femoral artery pseudoaneurysm

Öz

We report a case of a pseudoaneurysm of the medial circumflex femoral artery that presented 4 months following cementless left total hip arthroplasty (THA). A successful embolization was achieved using super-selective catheterization and coil embolization. Arterial complications associated with THA are remarkably rare. Endovascular techniques have been shown to be effective and are considered a valid alternative to conventional surgery.

Anahtar Kelimeler

• Aneurysm
• coil embolization
• femoral artery
• total hip replacement
• vascular complication

Kaynakça

1. Dorr LD, Conaty JP, Kohl R, Harvey JP Jr. False aneurysm of the femoral artery following total hip surgery. J Bone Joint Surg Am 1974;56:1059-62.
2. Nachbur B, Meyer RP, Verkkala K, Zürcher R. The mechanisms of severe arterial injury in surgery of the hip joint. Clin Orthop Relat Res 1979;141:122-33.
3. Giacchetto J, Gallagher JJ. False aneurysm of the common femoral artery secondary to migration of a threaded acetabular component. A case report and review of the literature. Clin Orthop Relat Res 1988;231:91-6.
4. Ratliff AH. Arterial injuries after total hip replacement. J Bone Joint Surg Br 1985;67:517-8.
5. Lacroix H, du Bois NA, van Biezen FC. Dislocation of a total hip prosthesis by a false aneurysm. J Bone Joint Surg Br 1992;74:159-60.
6. Mallory TH, Jaffe SL, Eberle RW. False aneurysm of the common femoral artery after total hip arthroplasty. A case report. Clin Orthop Relat Res 1997;338:105-8.
7. Rossi FH, Izukawa NM, Silva DG, Chen J, Prakasan AK, Zamorano MM, et al. Effects of electrocautery to provoke endovascular thermal injury. Acta Cir Bras 2011;26:329-32. Kroese A, Mollerud A. Traumatic aneurysm of the common femoral artery after hip endoprosthesis. Acta Orthop Scand 1975;46:119-22.
8. Tkaczuk H. False aneurysm of the external iliac artery following hip endoprosthesis. Acta Orthop Scand 1976;47:317-9.

9. Akizuki S, Terayama K, Kobayashi S. False aneurysm of the external iliac artery during total hip replacement. A case report. Arch Orthop Trauma Surg 1984;102:210-1.