Norman A. Shoenfeld, MD. , Steven A. Stuchin, MD. , Richard Pearl, MD

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Presentation transcript:

The management of vascular injuries associated with total hip arthroplasty Norman A. Shoenfeld, MD *, Steven A. Stuchin, MD **, Richard Pearl, MD *, Stephen Haveson, MD * Journal of Vascular Surgery Volume 11, Issue 4, Pages 549-555 (April 1990) DOI: 10.1016/0741-5214(90)90301-P Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preoperative x-ray film for Case 1. Protrusion of the acetabular component into the pelvis is seen (arrow). Journal of Vascular Surgery 1990 11, 549-555DOI: (10.1016/0741-5214(90)90301-P) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Angiogram of Case 2 performed through a right femoral artery approach by means of the Seldinger technique in which the left external iliac vessels are encased in cement (solid arrow). The circular structure in the left pelvis (open arrow) is the acetabular component of the hip prosthesis, which is markedly displaced into the pelvis and rotated. Journal of Vascular Surgery 1990 11, 549-555DOI: (10.1016/0741-5214(90)90301-P) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Angiogram of Case 3. Occlusion of the common femoral artery is present (arrow). Journal of Vascular Surgery 1990 11, 549-555DOI: (10.1016/0741-5214(90)90301-P) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Vessels injured in THR (EIA, External iliac artery; CFA, common femoral artery; EIV, external iliac vein; SFA, superficial femoral artery; DFA, profunda femoris artery; MCFA, medial circumflex femoral artery). There were isolated injuries to the common iliac, hypogastric, superior gluteal, obturator, lateral circumflex femoral, and popliteal arteries and to the common iliac and common femoral veins. Journal of Vascular Surgery 1990 11, 549-555DOI: (10.1016/0741-5214(90)90301-P) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Time to diagnosis of pseudoaneurysms. Journal of Vascular Surgery 1990 11, 549-555DOI: (10.1016/0741-5214(90)90301-P) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions