Abstract

GONZALEZ PEREZ, Inmaculada; ZORRILLA RIBOT, Pedro  and  NIETO, Irene Andrés. Traumatismo arterial secundario a artroplastia de cadera: Presentación de un caso. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2017, vol.82, n.4, pp.317-320. ISSN 1852-7434.

We present a patient with iatrogenic vascular lesion of the external circumflex femoral artery following a total hip arthroplasty. After surgery the patient presented important anemia in repeated occasions, with thigh pain requiring evacuation of the hematoma. Nevertheless two angio-CTs were negative for active bleeding. Finally the lesion was diagnosed by arteriography, and it was treated with endovascular surgery. We emphasize the importance of the care during the manipulation of the limb and the objects used. We also explain how the diagnosis was suspected even though the commonly used diagnostic tools did not reveal the diagnosis, and there was no active bleeding, increasing the chances of overcoming the diagnosis of a lesion that is potentially life threatening if it is not resolved. We also highlight the advances in the treatment of these lesions with endovascular techniques, which reduce morbidity and mortality when compared with the classic open surgery.

Keywords : Vascular lesion; Latrogenic disease; Endovascular repair.

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