Total hip revision arthroplasty of high-risk pelvic vascular injury associated with an endovascular approach: a case report.
Rev Bras Ortop 2018;
53:626-631. [PMID:
30258828 PMCID:
PMC6152595 DOI:
10.1016/j.rboe.2018.07.002]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 04/11/2017] [Indexed: 11/22/2022] Open
Abstract
Vascular injury during a revision total hip revision arthroplasty surgery is an uncommon event; nonetheless, it is recognized as an intraoperative complication. Preoperative planning becomes imperative in such cases, especially when there is a conflict between the implanted material and the iliac vessels. Usually an ilioinguinal approach is used to identify the vascular structures at risk and isolate them from the prosthetic components, which increases the duration and morbidity of the procedure for the patient. The article describes a less invasive alternative approach to prevent intraoperative arterial injury. The patient was informed that the data related to her case would be submitted for publication and signed an informed consent form.
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