J Korean Orthop Assoc.  2013 Apr;48(2):124-129. 10.4055/jkoa.2013.48.2.124.

Acute Occlusion of a Femoro-Popliteal Bypass Graft after Primary Cementless Total Hip Arthroplasty

• Park KS
• Yoon TR
• Seol YJ

• KMID: 1424102
• DOI: http://doi.org/10.4055/jkoa.2013.48.2.124

Abstract

Vascular complications after total hip arthroplasty (THA) are rare and mainly occur after revision surgery, and of these complications, large artery thrombosis is relatively uncommon. Nevertheless, this complication has potentially devastating effects on the affected lower extremity. The authors report a case of acute thrombosis in an iliac artery stent and femoro-popliteal bypass graft after primary cementless THA, and include relevant literature review.

Keyword

total hip arthroplasty; occlusion; arteries; bypass graft

MeSH Terms

Arteries
Arthroplasty
Hip
Iliac Artery
Lower Extremity
Stents
Tacrine
Thrombosis
Transplants
Tacrine

Figure

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  Figure 1 Anteroposterior radiograph of both hips showing left femoral neck fracture nonunion after cannulated screw fixation. There was a left iliac stent (white arrow) and leg shortening about 15 mm.

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  Figure 2 Preoperative lower extremity 3 dimensional computed tomographic angiograph demonstrating no occlusive lesion at left femoro-popliteal bypass graft.

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  Figure 3 (A) Immediate postoperative anteroposterior and (B) lateral radiographs showing the cementless total hip arthroplasty and equal leg length.

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  Figure 4 (A) The axial and (B) 3 dimensional images of postoperative computed tomographic angiograph showing an occlusive lesion in the external iliac artery through the previous bypass graft (white arrows).

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  Figure 5 (A) Arteriography before selective thrombolytic therapy showing impaired distal arterial flow. (B) After selective thrombolytic therapy, (C) arteriography demonstrated patent distal flow to the popliteal artery via the bypass graft.

Reference

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