TY - JOUR
T1 - Endovascular repair of external iliac artery occlusion after hip prosthesis migration
AU - Kwolek, Christopher J.
AU - Matthews, Marc R.
AU - Hartford, James M.
AU - Minion, David J.
AU - Schwarcz, Thomas H.
AU - Quick, Rhonda
AU - Endean, Eric
PY - 2003/6
Y1 - 2003/6
N2 - Purpose: To report emergent endovascular intervention to restore lower extremity arterial patency after migration of a hip prosthesis caused thrombosis of the external iliac artery (EIA). Case Report: Nine months following left hip revision arthroplasty, a 66-year-old woman presented to the Emergency Department with the complaints of an acutely painful left lower extremity for over 6 hours. Imaging showed the metallic acetabular portion of the hip prosthesis in the iliac fossa, with severe external compression of the EIA. After thrombolysis to remove clot from the EIA, an 8×60-mm self-expanding Smart stent was deployed in the left EIA from a contralateral access. The procedure was successful, and the patient was discharged. An infected wound from a compartment fasciotomy delayed revision of the hip prosthesis. Nine weeks after stenting, the patient returned with a cold, pulseless left limb; a femorofemoral bypass was constructed to restore perfusion. Conclusions: While stent placement restored flow for 9 weeks after the initial ischemic event, the recurrent thrombosis could have been prevented by earlier revision of the migrated prosthesis.
AB - Purpose: To report emergent endovascular intervention to restore lower extremity arterial patency after migration of a hip prosthesis caused thrombosis of the external iliac artery (EIA). Case Report: Nine months following left hip revision arthroplasty, a 66-year-old woman presented to the Emergency Department with the complaints of an acutely painful left lower extremity for over 6 hours. Imaging showed the metallic acetabular portion of the hip prosthesis in the iliac fossa, with severe external compression of the EIA. After thrombolysis to remove clot from the EIA, an 8×60-mm self-expanding Smart stent was deployed in the left EIA from a contralateral access. The procedure was successful, and the patient was discharged. An infected wound from a compartment fasciotomy delayed revision of the hip prosthesis. Nine weeks after stenting, the patient returned with a cold, pulseless left limb; a femorofemoral bypass was constructed to restore perfusion. Conclusions: While stent placement restored flow for 9 weeks after the initial ischemic event, the recurrent thrombosis could have been prevented by earlier revision of the migrated prosthesis.
KW - Arterial injury
KW - Arterial thrombosis
KW - External iliac artery
KW - Hip arthroplasty
KW - Hip prosthesis
KW - Prosthetic migration
KW - SMART stent
KW - Thrombolysis
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U2 - 10.1583/1545-1550(2003)010<0668:EROEIA>2.0.CO;2
DO - 10.1583/1545-1550(2003)010<0668:EROEIA>2.0.CO;2
M3 - Article
C2 - 12932185
AN - SCOPUS:0141702175
SN - 1526-6028
VL - 10
SP - 668
EP - 671
JO - Journal of Endovascular Therapy
JF - Journal of Endovascular Therapy
IS - 3
ER -