title: Vacuum-assisted closure complicated by erosion and hemorrhage of the anterior tibial artery.
abstract: We report an erosion and hemorrhage of a left anterior tibial artery associated with a vacuum-assisted closure device. To our knowledge, this report represents the first arterial erosion associated with a vacuum-assisted closure device. We estimate our patient lost 6 units of blood. The hemorrhage was complicated by anticoagulation and a traumatic setting. Based on our complication, we believe great care should be taken when placing a vacuum-assisted closure device adjacent to an exposed artery.
authors.affiliation: Department of Orthopaedic Surgery, University Hospital at University of Missouri-Columbia, Columbia, MO, USA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: White
authors.forename: Roberto A
authors.initials: RA
authors.lastname: Miki
authors.forename: Peter
authors.initials: P
authors.lastname: Kazmier
authors.forename: Jeffrey O
authors.initials: JO
authors.lastname: Anglen
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005360:Fibula / Q000293:injuries / Q000601:surgery; D050723:Fractures, Bone / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery; D008297:Male; D009104:Multiple Trauma; D009779:Occlusive Dressings / Q000009:adverse effects*; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D016909:Tibial Arteries / Q000293:injuries*; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome; D014618:Vacuum; D014945:Wound Healing