Endovascular treatment of bleeding external iliac artery pseudo-aneurysm following control of haemorrhage with Sengstaken tube during revision total hip arthroplasty.
We report a case of false aneurysm of the external iliac artery and compression of the external iliac vein, which subsequently caused deep venous thrombosis in a 63-year-old female patient with a revised total hip arthroplasty. This is the first case of control of life-threatening intraoperative haemorrhage of an external iliac pseudo-aneurysm by Sengstaken tube which allowed time for successful management of the external iliac artery pseudo-aneurysm with endovascular covered stent. Recognition of delayed vascular injury following revision of total hip arthroplasty and the need of pre-operative imaging should be considered in revision hip arthroplasty.
Makar
Ragai R
RR
Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, UK. ragaimakar@hotmail.com
Salem
Amer
A
McGee
H
H
Campbell
D
D
Bateson
Paul
P
D017541:Aneurysm, False / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D020878:Device Removal; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D007440:Intubation / Q000295:instrumentation*; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*
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