To report endovascular repair of injuries to the external iliac artery during hip surgery.
Case Reports:
Two elderly women with histories of chronically infected hip prostheses were found to have iatrogenic leaking pseudoaneurysms of the external iliac artery due to hip surgery trauma in the past. Both were treated successfully with a Jostent Peripheral Stent-Graft. The first patient died 17 months after treatment, and the second was well, with an excluded false aneurysm, at the 6-month follow-up.
Conclusions:
Stent-graft repair may be an appropriate and effective treatment for some traumatic arterial lesions.
BeguinLFeugierPDurandJM. Vascular risk and total hip arthroplasty [in French]. Rev Chir Orthop Reparatrice Appar Mot.2001; 87: 489–498.
3.
ShoenfeldNAStuchinSAPearlR. The management of vascular injuries associated with total hip arthroplasty. J Vasc Surg.1990; 11: 549–555.
4.
DeshpandeADentonM. Endovascular treatment of a posttraumatic femoral vein—profunda femoris artery fistula. J Endovasc Surg.1999; 6: 301–303.
5.
GiacchettoJGallagherJJ. False aneurysm of the common femoral artery secondary to migration of a threaded acetabular component. A case report and review of the literature. Clin Orthop. 1988; 231: 91–96.
6.
ModyBS. Pseudoaneurysm of external iliac artery and compression of external iliac vein after total hip arthroplasty. Case report. J Arthroplasty. 1994; 9: 95–98.
7.
BachCMSteingruberIWimmerC. False aneurysm 14 years after total hip arthroplasty. J Arthroplasty. 2000; 15: 535–538.
8.
SethuramanVHozackWJSharkeyPF. Pseudoaneurysm of femoral artery after revision total hip arthroplasty with a constrained cup. J Arthroplasty. 2000; 15: 531–534.
9.
BachCMSteingruberIEOgonM. Intrapelvic complications after total hip arthroplasty failure. Am J Surg.2002; 183: 75–79.
10.
LundJMClarkeJMCockburnJF. Medial circumflex femoral artery pseudoaneurysm following total hip replacement treated by coil embolisation. Eur J Vasc Endovasc Surg.2002; 24: 182–183.
11.
NozawaMIrimotoMMaezawaK. False aneurysm of the profunda femoris artery after total hip arthroplasty. J Arthroplasty. 2000; 15: 671–674.
12.
UrbanJGarvinK. Infection after total hip arthroplasty. Curr Opin Orthop. 2001; 12: 64–70.
13.
PernesJMAugusteMAHovasseD. Long iliac stenosis: Initial clinical experience with the Cragg endoluminal graft. Radiology. 1995; 196: 67–71.
14.
ScheinertDSchroderMLudwigJ. Stent-supported recanalization of chronic iliac artery occlusions. Am J Med.2001; 110: 708–715.
15.
QuinnSFSheleyRCSemonsenK. Endovascular stents covered with pre-expanded PTFE for treatment of iliac artery aneurysm and fistula. J Vasc Interv Radiol.1997; 8: 1057–1063.
