Acetabular Screw in Close Proximity to the Posterior Branch of the Internal Iliac Artery in Revision Hip Surgery with Intrapelvic Migration of Acetabular Component: Preoperative Placement of a Fogarty Catheter in the Internal Iliac Artery (Case Report | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 8، دوره 11، شماره 1، فروردین 2023، صفحه 64-67 اصل مقاله (2.08 M) | ||
| نوع مقاله: TECHNICAL NOTE | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2022.62952.3051 | ||
| نویسندگان | ||
| Deepak Gautam1؛ Atin Kumar2؛ Arun Manjunatha Swamy* 1؛ Vivek Vijayakumar1؛ Alok Rai1؛ Rajesh Malhotra1 | ||
| 1Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India | ||
| 2Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India | ||
| چکیده | ||
| Revision of an intrapelvic migration of the acetabular component of a total hip is a challenging surgery due to the risk of injury to the pelvic viscera. The primary concern is vascular injury due to the risk of mortality and limb loss. The researchers present one case where the acetabular screw was near the posterior branch of the internal iliac artery. A Fogarty catheter was placed in the internal iliac artery preoperatively, and the amount of fluid to inflate the catheter and completely block the artery was determined. The catheter was kept in a deflated condition. The hip reconstruction was performed, and there was no incidence of vascular injury during the procedure; hence, the Fogarty catheter was removed postsurgery. The placement of a Fogarty catheter in the at-risk vessel provides the freedom to proceed with the hip reconstruction through the standard approach. In case of an inadvertent event of a vascular injury, it can be inflated with the predetermined amount of saline to check the bleeding until the vascular surgeons take over the case. Level of evidence: V | ||
| کلیدواژهها | ||
| Complex hip revision؛ Intra-pelvic migration؛ Fogarty؛ Vascular injury | ||
| مراجع | ||
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