Korean J Radiol.  2007 Apr;8(2):173-175. 10.3348/kjr.2007.8.2.173.

Transarterial Embolization of an Inferior Genicular Artery Pseudoaneurysm with Arteriovenous Fistula after Arthroscopy

Affiliations
  • 1Department of Radiology, Dr. Josep Trueta University Hospital, Av. Franca s/n, Girona, Spain. h416ujpu@htrueta.scs.es

Abstract

Arthroscopic meniscectomy of the knee is generally a safe and effective procedure with a low rate of vascular complications. We report here on a unique case of a 55-year-old man with a lateral inferior genicular artery pseudoaneurysm and a concomitant arteriovenous fistula that developed after arthroscopic meniscectomy; this was successfully treated with selective angiographic embolization. This case illustrates the effectiveness of an endovascular approach as a minimally invasive treatment for this uncommon complication that occurs after an arthroscopic procedure.

Keyword

Arteriovenous malformations; Interventional procedures; Interventional procedures, technology; Knee

MeSH Terms

Aneurysm, False/*etiology/*therapy
Angiography
Arteriovenous Fistula/*etiology/*therapy
Arthroscopy/*adverse effects
Embolization, Therapeutic/*methods
Humans
Knee Joint/radiography/surgery
Leg/*blood supply
Male
Middle Aged

Figure

  • Fig. 1 A. Digital subtraction intraarterial angiography reveals a pseudoaneurysm originating from the inferior genicular artery (arrow) with shunting of contrast into the venous system (arrowheads). B. Postembolization digital subtraction intraarterial angiography demonstrating the embolized pseudoaneurysm; note the coils that were used and complete occlusion of the aneurismatic fistula (arrow).


Reference

1. Committee on Complications of the Arthroscopy Association of North America. Complications in arthroscopy: the knee and other joints. Arthroscopy. 1986. 2:253–258.
2. Small NC. Complications in arthroscopic surgery of the knee and shoulder. Orthopedics. 1993. 16:985–988.
3. Hilborn M, Munk PL, Miniaci A, MacDonald SJ, Rankin RN, Fowler PJ. Pseudoaneurysm after therapeutic knee arthroscopy: imaging findings. AJR Am J Roentgenol. 1994. 163:637–639.
4. Tozzi A, Ferri E, Serrao E, Colonna M, De Marco P, Mangialardi N. Pseudoaneurysm of the descending genicular artery after arthroscopic meniscectomy: report of a case. J Trauma. 1996. 41:340–341.
5. Vassallo P, Reiser MF, Strobel M, Peters PE. Popliteal pseudoaneurysm and arteriovenous shunt following arthroscopic meniscectomy: case report. Cardiovasc Intervent Radiol. 1989. 12:142–144.
6. Mullen DJ, Jabaji GJ. Popliteal pseudoaneurysm and arteriovenous fistula after arthroscopic meniscectomy. Arthroscopy. 2001. 17:E1.
7. Karkos CD, Sampath SA, Bury R, Mohandas P, Forrest L. Arteriovenous fistula of the lateral superior and inferior geniculate arteries. A unique cause of a "recurrent prepatellar bursa. Int Angiol. 2002. 21:280–283.
8. Kiss H, Drekonja T, Grethen C, Dorn U. Postoperative aneurysm of the popliteal artery after arthroscopic meniscectomy. Arthroscopy. 2001. 17:203–205.
9. Skibo L, Polak JF. Compression repair of a postcatheterization pseudoaneurysm of the brachial artery under sonographic guidance. AJR Am J Roentgenol. 1993. 160:383–384.
10. Wolford H, Peterson SL, Ray C, Morgan SJ. Delayed arteriovenous fistula and pseudoaneurysm after an open tibial fracture successfully managed with selective angiographic embolization. J Trauma. 2001. 51:781–783.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr