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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Embolisation for vascular injuries complicating elective orthopaedic surgery.
A F Mavrogenis1, G Rossi, E Rimondi
1Department of Orthopaedics, Orthopaedic Oncology Service, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy.
Summary
Embolisation effectively treats vascular injuries from orthopaedic surgery. This minimally invasive procedure offers a safe and complication-free solution for bleeding, particularly after hip procedures.
Area of Science:
- Interventional Radiology
- Orthopaedic Surgery
- Vascular Surgery
Background:
- Vascular injuries can complicate elective orthopaedic surgery.
- Prompt diagnosis and treatment are crucial for patient outcomes.
- Minimally invasive techniques are increasingly preferred.
Purpose of the Study:
- To outline indications for embolisation in orthopaedic vascular injuries.
- To highlight the efficacy and safety of embolisation as a treatment.
- To emphasize the role of embolisation in managing post-operative bleeding.
Main Methods:
- Retrospective analysis of 31 patients undergoing embolisation for vascular injuries post-orthopaedic surgery (2003-2010).
- N-2-butyl cyano-acrylate (NBCA), gelatin sponge, and coil embolisation were utilized.
- Mean follow-up of 37 months.
Main Results:
- Hip-joint procedures were most commonly associated with injuries.
- Superior gluteal artery tears were frequent injuries.
- Angiography identified bleeding points, and single embolisation sessions were effective with no observed complications.
Conclusions:
- Embolisation is the preferred treatment for specific vascular injuries in orthopaedic surgery.
- It is particularly effective for branch or non-critical axial vessel injuries.
- Advantages include minimally invasive nature and absence of complications.
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