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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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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. |
format | Online Article Text |
id | pubmed-4556868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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