Embolisation for Vascular Injuries Complicating Elective Orthopaedic Surgery

Abstract Objectives The study aims to present the indications and emphasise the role of embolisation for vascular injuries in orthopaedic surgery. Methods Thirty-one patients with vascular injuries complicating elective orthopaedic surgery had embolisation from 2003 to 2010. N -2-butyl cyano-acrylat...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2011-11, Vol.42 (5), p.676-683
Main Authors: Mavrogenis, A.F, Rossi, G, Rimondi, E, Ruggieri, P, Mercuri, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Angiography
Elective Surgical Procedures - adverse effects
Embolisation
Embolization, Therapeutic
Enbucrilate - therapeutic use
Female
Humans
Male
Middle Aged
Orthopaedic surgery
Orthopedic Procedures - adverse effects
Patient Selection
Retrospective Studies
Surgery
Treatment Outcome
Vascular injuries
Vascular System Injuries - etiology
Vascular System Injuries - therapy
Young Adult
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Summary:Abstract Objectives The study aims to present the indications and emphasise the role of embolisation for vascular injuries in orthopaedic surgery. Methods Thirty-one patients with vascular injuries complicating elective orthopaedic surgery had embolisation from 2003 to 2010. N -2-butyl cyano-acrylate (NBCA) was used as embolic agent in 28 patients, gelatin sponge in three and coil embolisation in addition to NBCA or gelatin sponge in two patients. The mean follow-up period was 37 months (range, 4–96 months). Results The most common orthopaedic operations associated with vascular injuries amenable to embolisation were hip-joint procedures; and the most common injuries were arterial tears of branch vessels or non-critical axial vessels, most commonly of the superior glutaeal artery. In all cases, angiography showed the bleeding point, and a single embolisation session effectively stopped bleeding. Embolisation-related complications were not observed. Conclusions Embolisation should be considered the treatment of choice for vascular injuries of branch vessels or non-critical axial vessels following elective orthopaedic surgery because of the advantages of minimally invasive therapy and the lack of complications.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2011.04.009