Embolisation for vascular injuries complicating elective orthopaedic surgery

A. F. Mavrogenis, G. Rossi, E. Rimondi, P. Ruggieri, M. Mercuri

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)676-683
Number of pages8
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume42
Issue number5
DOIs
Publication statusPublished - Nov 2011

Keywords

  • Angiography
  • Embolisation
  • Orthopaedic surgery
  • Vascular injuries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Fingerprint Dive into the research topics of 'Embolisation for vascular injuries complicating elective orthopaedic surgery'. Together they form a unique fingerprint.

Cite this