Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2012; 22(04): 257-259
DOI: 10.4103/0971-3026.111474
ORIGINAL ARTICLE

Combined thrombin-collagen injection for the management of an iatrogenic pseudoanuerysm in the popliteal region

Eoghan McCarthy
Department of Radiology, St. James′s Hospital, James′s Street, Dublin-8
,
Niamh O′Mahony
Department of Radiology, St. James′s Hospital, James′s Street, Dublin-8
,
Mark Ryan
Department of Radiology, St. James′s Hospital, James′s Street, Dublin-8
,
Michael Guiney
Department of Radiology, St. James′s Hospital, James′s Street, Dublin-8
› Author Affiliations Source of Support: Nill.
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Pseudoaneurysm formation is a rare but recognized complication of total knee arthroplasty (TKR), with fewer than 20 cases described in the literature. Multiple management techniques have been described for such pseudoaneurysms. As thrombin injection is an established technique, we report a case of a post-TKR tibioperoneal pseudoaneurysm successfully occluded via percutaneous injection of a dual thrombin-collagen preparation.

Keywords

Pseudoaneurysm - thrombin-collagen injection - total knee arthroplasty


Publication History

Article published online:
04 October 2021

© 2012. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Calligaro KD, Dougherty MJ, Ryan S, Booth RE. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg 2003;38:1170-7.
  • 2 Parvizi J, Pulido L, Slenker N, Macgibeny M, Purtill JJ, Rothman RH. Vascular injuries after total joint arthroplasty. J Arthroplasty 2008;23:1115-21.
  • 3 Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. J Vasc Surg 2004;40:574-7.
  • 4 Hofmann I, Wunderlich N, Robertson G, Kieback A, Haller C, Pfeil W, et al. Percutaneous injection of thrombin for the treatment of pseudoaneurysms: The German multicentre registry. EuroIntervention 2007;3:321-6.
  • 5 Tielliu IF, Verhoeven EL, Zeebregts CJ, Prins TR, Span MM, van den Dungen JJ. Endovascular treatment of popliteal artery aneurysms: Results of a prospective cohort study. J Vasc Surg 2005;41:561-7.