Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty

Arterial injury is a recognized but rare complication of total knee arthroplasty. These injuries, however, can be exceptionally devastating and potentially result in limb loss. Presentation may be delayed with symptoms associated with mass effect rather than with ischemia. We describe treatment of a...

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Main Authors:	Zachary J. Wanken, MD, J. Aaron Barnes, MD, Anna J. Eppolito, MS, RVT, Robert M. Zwolak, MD, PhD, Bjoern D. Suckow, MD, MS
Format:	Article
Language:	English
Published:	Elsevier 2019-12-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428719301200

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spelling	doaj-5e5db53b3c124e26a616ce410a1093482020-11-25T01:08:21ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154497500Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplastyZachary J. Wanken, MD0J. Aaron Barnes, MD1Anna J. Eppolito, MS, RVT2Robert M. Zwolak, MD, PhD3Bjoern D. Suckow, MD, MS4Correspondence: Zachary J. Wanken, MD, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03766; Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NHSection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NHSection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NHSection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NHSection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NHArterial injury is a recognized but rare complication of total knee arthroplasty. These injuries, however, can be exceptionally devastating and potentially result in limb loss. Presentation may be delayed with symptoms associated with mass effect rather than with ischemia. We describe treatment of a patient with presentation delayed 2 weeks. In addition, the patient's arterial branch pattern demonstrated aberrant anatomy with high takeoff of the posterior tibial artery. This patient was successfully treated with transcatheter coil embolization. The current treatment options and published literature are reviewed. Keywords: Pseudoaneurysm, Iatrogenic injury, Coil embolizationhttp://www.sciencedirect.com/science/article/pii/S2468428719301200
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Zachary J. Wanken, MD J. Aaron Barnes, MD Anna J. Eppolito, MS, RVT Robert M. Zwolak, MD, PhD Bjoern D. Suckow, MD, MS
spellingShingle	Zachary J. Wanken, MD J. Aaron Barnes, MD Anna J. Eppolito, MS, RVT Robert M. Zwolak, MD, PhD Bjoern D. Suckow, MD, MS Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Zachary J. Wanken, MD J. Aaron Barnes, MD Anna J. Eppolito, MS, RVT Robert M. Zwolak, MD, PhD Bjoern D. Suckow, MD, MS
author_sort	Zachary J. Wanken, MD
title	Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
title_short	Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
title_full	Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
title_fullStr	Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
title_full_unstemmed	Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
title_sort	coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2019-12-01
description	Arterial injury is a recognized but rare complication of total knee arthroplasty. These injuries, however, can be exceptionally devastating and potentially result in limb loss. Presentation may be delayed with symptoms associated with mass effect rather than with ischemia. We describe treatment of a patient with presentation delayed 2 weeks. In addition, the patient's arterial branch pattern demonstrated aberrant anatomy with high takeoff of the posterior tibial artery. This patient was successfully treated with transcatheter coil embolization. The current treatment options and published literature are reviewed. Keywords: Pseudoaneurysm, Iatrogenic injury, Coil embolization
url	http://www.sciencedirect.com/science/article/pii/S2468428719301200
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Coil embolization of an aberrant posterior tibial artery pseudoaneurysm after total knee arthroplasty

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