1/7. Dealing with a hemophilia-A patient undergoing cerebral aneurysm surgery.In this article anesthesiologic and hematologic aspects of a patient with Hemophilia-A, who underwent craniotomy for a right middle cerebral artery aneurysm, are discussed.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/7. Local vascular complications after knee replacement: a review with illustrative case reports.The incidence of vascular complications after knee replacement is between 0.03% and 0.2%. These complications include acute ischaemia, thrombosis, haemorrhage, fistula and aneurysm formation. Vascular complications can be avoided by careful pre-operative selection. If doubt exists, a vascular opinion should be obtained before knee replacement. In the event of a vascular complication occurring, serious morbidity can be avoided by prompt diagnosis, investigation and specialist treatment.- - - - - - - - - - ranking = 0.2keywords = aneurysm (Clic here for more details about this article) |
3/7. Embolization of traumatic pseudoaneurysms after total knee arthroplasty.We report on 2 cases of traumatic pseudoaneurysm after total knee arthroplasty. In one patient, a hemarthrosis and a pulsatile antecubital mass developed 1 month after arthroplasty, prompting angiography. In the second patient, evacuation of a large hemarthrosis was performed before angiography and embolization. In both patients, the pseudoaneurysm was successfully treated without the need for surgical repair, using percutaneous thrombin injection or transcatheter embolization. No recurrence of hemarthrosis was seen in either patient at up to 24 months of follow-up evaluation. These cases show the use of angiography in reconstructed joints when acute or delayed hemarthrosis occurs, and the role of embolization techniques in this setting.- - - - - - - - - - ranking = 26.747537750002keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/7. Recurrent hemarthrosis of the knee caused by pseudoaneurysm of a composed femoropopliteal bypass graft.We report on a case of recurrent hemarthrosis of the knee caused by a false aneurysm of a composed femoropopliteal bypass graft. Treatment consisted of resection and interposition grafting. The pathogenesis and treatment options of anastomotic false aneurysms are also reviewed briefly.- - - - - - - - - - ranking = 18.231691833335keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/7. shoulder hemarthrosis due to a bleeding pseudoaneurysm.We describe a patient with advanced shoulder osteoarthritis who developed a spontaneous hemarthrosis due to a bleeding pseudoaneurysm. This rare cause of intra-articular hemorrhage is important to establish because specific treatment may offer relief and prevent further bleeding.- - - - - - - - - - ranking = 22.289614791668keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
6/7. Traumatic aneurysm of the descending geniculate artery: a complication of suction drainage in synovectomy for hemophilic arthropathy.A traumatic false aneurysm of the descending genicular artery developed as a complication of suction drainage of a knee following synovectomy in a patient with hemophilic arthropathy. The aneurysm enlarged in spite of factor viii replacement therapy, and surgical resection was required. As a precautionary measure, in knee arthrotomy operations, trocar-tipped catheters could be passed through the lateral side of the suprapatellar pouch.- - - - - - - - - - ranking = 1.2keywords = aneurysm (Clic here for more details about this article) |
7/7. Periarticular aneurysm formation in haemophilia.BACKGROUND: Spontaneous bleeding into the joints is common in haemophilia. Recurrent intra-articular bleeding leads to joint destruction. In the past 4 years we have carried out sixteen total knee replacements for haemophilic arthropathy. In three patients there was persistent bleeding with haemarthrosis, manifest skin discolouration, severe pain, and swelling, which was caused by a periarticular aneurysm. methods: Using angiography as part of the preoperative preparation, we initiated a prospective study. Ten angiographic examinations (six preoperative, two postoperative, one both) were carried out in seven patients without major complications. FINDINGS: In seven of the ten angiographic examinations, three preoperative and four postoperative, we found aneurysms around the knee. Since the patients with a positive postoperative finding did not have preoperative studies, we do not know whether the aneurysms existed before surgery. INTERPRETATION: Aneurysms can cause increased bleeding and other complications. The occurrence of spontaneous periarticular aneurysms in haemophilia has not been explored. In these cases, the resultant bleeding led to serious clinical symptoms that were not responsive to conservative measures. This new finding is relevant to those who surgically treat haemophilia patients. angiography--and, when indicated, embolisation--before total knee replacement proved simple and effective as a diagnostic and therapeutic procedure.- - - - - - - - - - ranking = 1.6keywords = aneurysm (Clic here for more details about this article) |