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Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty

Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second...

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Autores principales: Tsujimoto, Ryu, Matsumoto, Tomoyuki, Takayama, Koji, Kawakami, Yohei, Kamimura, Masato, Matsushita, Takehiko, Kuroda, Ryosuke, Kurosaka, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556868/
https://www.ncbi.nlm.nih.gov/pubmed/26357582
http://dx.doi.org/10.1155/2015/672164
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author Tsujimoto, Ryu
Matsumoto, Tomoyuki
Takayama, Koji
Kawakami, Yohei
Kamimura, Masato
Matsushita, Takehiko
Kuroda, Ryosuke
Kurosaka, Masahiro
author_facet Tsujimoto, Ryu
Matsumoto, Tomoyuki
Takayama, Koji
Kawakami, Yohei
Kamimura, Masato
Matsushita, Takehiko
Kuroda, Ryosuke
Kurosaka, Masahiro
author_sort Tsujimoto, Ryu
collection PubMed
description Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second revision TKA in a patient with a history of several surgical procedures because of periprosthetic infection at a previous hospital. Revascularization was achieved via bypass grafting and amputation was narrowly avoided despite time lag after symptom onset to revascularization. In this case, it was possible that the arterial disease that accompanied the vascular endothelium injury such as pseudoaneurysm had existed since the previous surgery at another hospital and was destroyed by the surgical procedure, which led to the formation of thrombosis and arterial occlusion. Preoperative evaluation of the arterial condition should be considered to avoid acute arterial occlusive disease, especially in patients who had several previous surgical procedures.
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spelling pubmed-45568682015-09-09 Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty Tsujimoto, Ryu Matsumoto, Tomoyuki Takayama, Koji Kawakami, Yohei Kamimura, Masato Matsushita, Takehiko Kuroda, Ryosuke Kurosaka, Masahiro Case Rep Orthop Case Report Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second revision TKA in a patient with a history of several surgical procedures because of periprosthetic infection at a previous hospital. Revascularization was achieved via bypass grafting and amputation was narrowly avoided despite time lag after symptom onset to revascularization. In this case, it was possible that the arterial disease that accompanied the vascular endothelium injury such as pseudoaneurysm had existed since the previous surgery at another hospital and was destroyed by the surgical procedure, which led to the formation of thrombosis and arterial occlusion. Preoperative evaluation of the arterial condition should be considered to avoid acute arterial occlusive disease, especially in patients who had several previous surgical procedures. Hindawi Publishing Corporation 2015 2015-08-19 /pmc/articles/PMC4556868/ /pubmed/26357582 http://dx.doi.org/10.1155/2015/672164 Text en Copyright © 2015 Ryu Tsujimoto et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tsujimoto, Ryu
Matsumoto, Tomoyuki
Takayama, Koji
Kawakami, Yohei
Kamimura, Masato
Matsushita, Takehiko
Kuroda, Ryosuke
Kurosaka, Masahiro
Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title_full Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title_fullStr Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title_full_unstemmed Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title_short Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
title_sort acute popliteal artery occlusion after revision total knee arthroplasty
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556868/
https://www.ncbi.nlm.nih.gov/pubmed/26357582
http://dx.doi.org/10.1155/2015/672164
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