Transarterial embolization of large complex arteriovenous fistula associated with hip joint surgery

Ho Jong Chun1, Keigo Osuga, Eiji Sugihara

  • 1Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Arteriovenous fistula may be due to a vascular injury during various orthopedic surgeries. It may cause massive, unexpected bleeding during or following an operation or during rehabilitation. We report herein the case of a 48-year-old woman with a previous history of hip joint surgery due to congenital hip dislocation who experienced massive bleeding during a second operation. Postoperative pelvic angiography revealed large, complex arteriovenous fistulas with combined venous aneurysm. She was managed successfully by transarterial embolization.