OBJECTIVES: The study aims to present the indications and emphasise the role of embolisation for vascular injuries in orthopaedic surgery. METHODS: Thirty-one patients with vascular injuries complicating elective orthopaedic surgery had embolisation from 2003 to 2010. N-2-butyl cyano-acrylate (NBCA) was used as embolic agent in 28 patients, gelatin sponge in three and coil embolisation in addition to NBCA or gelatin sponge in two patients. The mean follow-up period was 37 months (range, 4-96 months). RESULTS: The most common orthopaedic operations associated with vascular injuries amenable to embolisation were hip-joint procedures; and the most common injuries were arterial tears of branch vessels or non-critical axial vessels, most commonly of the superior glutaeal artery. In all cases, angiography showed the bleeding point, and a single embolisation session effectively stopped bleeding. Embolisation-related complications were not observed. CONCLUSIONS: Embolisation should be considered the treatment of choice for vascular injuries of branch vessels or non-critical axial vessels following elective orthopaedic surgery because of the advantages of minimally invasive therapy and the lack of complications.
OBJECTIVES: The study aims to present the indications and emphasise the role of embolisation for vascular injuries in orthopaedic surgery. METHODS: Thirty-one patients with vascular injuries complicating elective orthopaedic surgery had embolisation from 2003 to 2010. N-2-butyl cyano-acrylate (NBCA) was used as embolic agent in 28 patients, gelatin sponge in three and coil embolisation in addition to NBCA or gelatin sponge in two patients. The mean follow-up period was 37 months (range, 4-96 months). RESULTS: The most common orthopaedic operations associated with vascular injuries amenable to embolisation were hip-joint procedures; and the most common injuries were arterial tears of branch vessels or non-critical axial vessels, most commonly of the superior glutaeal artery. In all cases, angiography showed the bleeding point, and a single embolisation session effectively stopped bleeding. Embolisation-related complications were not observed. CONCLUSIONS: Embolisation should be considered the treatment of choice for vascular injuries of branch vessels or non-critical axial vessels following elective orthopaedic surgery because of the advantages of minimally invasive therapy and the lack of complications.
Authors: Pablo Ariel Slullitel; Lionel Llano; Christian García-Ávila; Fernando Diaz-Dilernia; Francisco Piccaluga; Martin Buttaro; Gerardo Zanotti; Fernando Comba Journal: Int Orthop Date: 2019-06-20 Impact factor: 3.075
Authors: A F Mavrogenis; G Rossi; G Altimari; T Calabrò; A Angelini; E Palmerini; E Rimondi; P Ruggieri Journal: Radiol Med Date: 2012-08-09 Impact factor: 3.469
Authors: Matthias Erschbamer; Jürgen Den Hollander; Daniel Sauter; Johannes Erhardt; Lukas Hechelhammer; Fabrice Külling Journal: Int Orthop Date: 2015-11-28 Impact factor: 3.075
Authors: James Shi; Antoinette Gomes; Edward Lee; Stephen Kee; John Moriarty; Henry Cryer; Justin McWilliams Journal: Eur J Orthop Surg Traumatol Date: 2016-08-20