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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2017

19.05.2015 | Knee

Pseudoaneurysm of the articular branch of the descending genicular artery following double-bundle anterior cruciate ligament reconstruction

verfasst von: Masanori Tsubosaka, Takehiko Matsushita, Ryosuke Kuroda, Tomoyuki Matsumoto, Masahiro Kurosaka

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 9/2017

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Abstract

This report describes a case of a pseudoaneurysm of the articular branch of the descending genicular artery following double-bundle anterior cruciate ligament (ACL) reconstruction. An 18-year-old male received double-bundle ACL reconstruction. During ACL reconstruction, a far anteromedial portal was created for femoral tunnel drilling. The patient presented with pulsatile swelling on the medial side of the knee on the second post-operative day. The pseudoaneurysm was diagnosed using contrast computed tomography and Doppler ultrasonography and was subsequently treated by embolization with a microcatheter. Although a vascular injury is a very rare complication of knee arthroscopy, it should be considered a possibility in patients who undergo such procedures.

Level of evidence

V.
Literatur
1.
Zurück zum Zitat Araujo PH, van Eck CF, Macalena JA, Fu FH (2011) Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 19:1239–1242CrossRefPubMedPubMedCentral Araujo PH, van Eck CF, Macalena JA, Fu FH (2011) Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 19:1239–1242CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Armato DP, Czamecki D (1990) Geniculate artery pseudoaneurysm: a rare complication of arthroscopic surgery. AJR Am J Roentgenol 155:659CrossRefPubMed Armato DP, Czamecki D (1990) Geniculate artery pseudoaneurysm: a rare complication of arthroscopic surgery. AJR Am J Roentgenol 155:659CrossRefPubMed
3.
Zurück zum Zitat Beck DE, Robison JG, Hallett JW Jr (1986) Popliteal artery pseudoaneurysm following arthroscopy. J Trauma 26:87–89CrossRefPubMed Beck DE, Robison JG, Hallett JW Jr (1986) Popliteal artery pseudoaneurysm following arthroscopy. J Trauma 26:87–89CrossRefPubMed
4.
Zurück zum Zitat Chatterjee T, Do DD, Kaufmann U, Mahler F, Meier B (1996) Ultrasound-guided compression repair for treatment of femoral artery pseudoaneurysm: acute and follow-up results. Cathet Cardiovasc Diagn 38:335–340CrossRefPubMed Chatterjee T, Do DD, Kaufmann U, Mahler F, Meier B (1996) Ultrasound-guided compression repair for treatment of femoral artery pseudoaneurysm: acute and follow-up results. Cathet Cardiovasc Diagn 38:335–340CrossRefPubMed
5.
Zurück zum Zitat Desai N, Bjornsson H, Musahl V, Bhandari M, Petzold M, Fu FH, Samuelsson K (2014) Anatomic single- versus double-bundle ACL reconstruction: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 22:1009–1023CrossRefPubMed Desai N, Bjornsson H, Musahl V, Bhandari M, Petzold M, Fu FH, Samuelsson K (2014) Anatomic single- versus double-bundle ACL reconstruction: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 22:1009–1023CrossRefPubMed
6.
Zurück zum Zitat Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, Sato E, Haro H (2014) Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg 134:1561–1564CrossRefPubMed Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, Sato E, Haro H (2014) Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg 134:1561–1564CrossRefPubMed
7.
Zurück zum Zitat Hussein MK, Lakkis SA (1998) Pseudoaneurysm of the popliteal artery following arthroscopic meniscectomy. Bull Hosp Jt Dis 57:162–164PubMed Hussein MK, Lakkis SA (1998) Pseudoaneurysm of the popliteal artery following arthroscopic meniscectomy. Bull Hosp Jt Dis 57:162–164PubMed
8.
Zurück zum Zitat Julien TP, Gravereaux E, Martin S (2012) Superior medial geniculate artery pseudoaneurysm after primary total knee arthroplasty. J Arthroplasty 27(323):e313–e326 Julien TP, Gravereaux E, Martin S (2012) Superior medial geniculate artery pseudoaneurysm after primary total knee arthroplasty. J Arthroplasty 27(323):e313–e326
9.
Zurück zum Zitat Lamo-Espinosa JM, Llombart Blanco R, Valenti JR (2012) Inferior lateral genicular artery injury during anterior cruciate ligament reconstruction surgery. Case Rep Surg 2012:457198PubMedPubMedCentral Lamo-Espinosa JM, Llombart Blanco R, Valenti JR (2012) Inferior lateral genicular artery injury during anterior cruciate ligament reconstruction surgery. Case Rep Surg 2012:457198PubMedPubMedCentral
10.
Zurück zum Zitat Law KY, Cheung KW, Chiu KH, Antonio GE (2007) Pseudoaneurysm of the geniculate artery following total knee arthroplasty: a report of two cases. J Orthop Surg (Hong Kong) 15:386–389CrossRef Law KY, Cheung KW, Chiu KH, Antonio GE (2007) Pseudoaneurysm of the geniculate artery following total knee arthroplasty: a report of two cases. J Orthop Surg (Hong Kong) 15:386–389CrossRef
11.
Zurück zum Zitat Lee GC, Kim DH, Park SH (2014) Popliteal artery pseudoaneurysm after anterior cruciate ligament re-revision using a rigidfix cross pin. Knee Surg Relat Res 26:121–124CrossRefPubMedPubMedCentral Lee GC, Kim DH, Park SH (2014) Popliteal artery pseudoaneurysm after anterior cruciate ligament re-revision using a rigidfix cross pin. Knee Surg Relat Res 26:121–124CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Lee KB, Song SY, Kwon DJ, Shin J, Paik SH (2009) Pseudoaneurysm of the medial superior genicular artery after arthroscopic partial meniscectomy. Clin Orthop Surg 1:173–175CrossRefPubMedPubMedCentral Lee KB, Song SY, Kwon DJ, Shin J, Paik SH (2009) Pseudoaneurysm of the medial superior genicular artery after arthroscopic partial meniscectomy. Clin Orthop Surg 1:173–175CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Manning MP, Marshall JH (1987) Aneurysm after arthroscopy. J Bone Joint Surg Br 69:151PubMed Manning MP, Marshall JH (1987) Aneurysm after arthroscopy. J Bone Joint Surg Br 69:151PubMed
14.
Zurück zum Zitat Mascarenhas R, Cvetanovich GL, Sayegh ET, Verma NN, Cole BJ, Bush-Joseph C, Bach BR, Jr. (2015) Does double-bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single-bundle techniques? A systematic review of overlapping meta-analyses. Arthroscopy. doi:10.1016/j.arthro.2014.11.014 Mascarenhas R, Cvetanovich GL, Sayegh ET, Verma NN, Cole BJ, Bush-Joseph C, Bach BR, Jr. (2015) Does double-bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single-bundle techniques? A systematic review of overlapping meta-analyses. Arthroscopy. doi:10.​1016/​j.​arthro.​2014.​11.​014
15.
Zurück zum Zitat Middleton KK, Hamilton T, Irrgang JJ, Karlsson J, Harner CD, Fu FH (2014) Anatomic anterior cruciate ligament (ACL) reconstruction: a global perspective. Part 1. Knee Surg Sports Traumatol Arthrosc 22:1467–1482CrossRefPubMed Middleton KK, Hamilton T, Irrgang JJ, Karlsson J, Harner CD, Fu FH (2014) Anatomic anterior cruciate ligament (ACL) reconstruction: a global perspective. Part 1. Knee Surg Sports Traumatol Arthrosc 22:1467–1482CrossRefPubMed
16.
Zurück zum Zitat Mufty S Jr, Smits P, Feyen J (2011) Pseudoaneurysm of the superior medial genicular artery following knee arthroscopy. Knee Surg Sports Traumatol Arthrosc 19:1314–1315CrossRefPubMed Mufty S Jr, Smits P, Feyen J (2011) Pseudoaneurysm of the superior medial genicular artery following knee arthroscopy. Knee Surg Sports Traumatol Arthrosc 19:1314–1315CrossRefPubMed
17.
Zurück zum Zitat Omary R, Stulberg SD, Vogelzang RL (1991) Therapeutic embolization of false aneurysms of the superior medial genicular artery after operations on the knee. A report of two cases. J Bone Joint Surg Am 73:1257–1259CrossRefPubMed Omary R, Stulberg SD, Vogelzang RL (1991) Therapeutic embolization of false aneurysms of the superior medial genicular artery after operations on the knee. A report of two cases. J Bone Joint Surg Am 73:1257–1259CrossRefPubMed
19.
Zurück zum Zitat Rifaat MA, Massould AF, Shafie MB (1969) Post-operative aneurysm of the descending genicular artery presenting as a pulsating haemarthrosis of the knee. J Bone Joint Surg Br 51:506–507PubMed Rifaat MA, Massould AF, Shafie MB (1969) Post-operative aneurysm of the descending genicular artery presenting as a pulsating haemarthrosis of the knee. J Bone Joint Surg Br 51:506–507PubMed
20.
Zurück zum Zitat Sadat U, Naik J, Verma P, See TC, Cousins C, Chitnavis JP, Varty K, Gaunt ME (2008) Endovascular management of pseudoaneurysms following lower limb orthopedic surgery. Am J Orthop (Belle Mead NJ) 37:E99–E102 Sadat U, Naik J, Verma P, See TC, Cousins C, Chitnavis JP, Varty K, Gaunt ME (2008) Endovascular management of pseudoaneurysms following lower limb orthopedic surgery. Am J Orthop (Belle Mead NJ) 37:E99–E102
21.
Zurück zum Zitat Sarrosa EA, Ogilvie-Harris DJ (1997) Pseudoaneurysm as a complication of knee arthroscopy. Arthroscopy 13:644–645CrossRefPubMed Sarrosa EA, Ogilvie-Harris DJ (1997) Pseudoaneurysm as a complication of knee arthroscopy. Arthroscopy 13:644–645CrossRefPubMed
22.
Zurück zum Zitat Tiamklang T, Sumanont S, Foocharoen T, Laopaiboon M (2012) Double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev 11:CD008413PubMed Tiamklang T, Sumanont S, Foocharoen T, Laopaiboon M (2012) Double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev 11:CD008413PubMed
24.
Zurück zum Zitat Tozzi A, Ferri E, Serrao E, Colonna M, De Marco P, Mangialardi N (1996) Pseudoaneurysm of the descending genicular artery after arthroscopic meniscectomy: report of a case. J Trauma 41:340–341CrossRefPubMed Tozzi A, Ferri E, Serrao E, Colonna M, De Marco P, Mangialardi N (1996) Pseudoaneurysm of the descending genicular artery after arthroscopic meniscectomy: report of a case. J Trauma 41:340–341CrossRefPubMed
25.
Zurück zum Zitat Vincent GM, Stanish WD (1990) False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Joint Surg Am 72:770–772CrossRefPubMed Vincent GM, Stanish WD (1990) False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Joint Surg Am 72:770–772CrossRefPubMed
26.
Zurück zum Zitat Zantop T, Kubo S, Petersen W, Musahl V, Fu FH (2007) Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy 23:938–947CrossRefPubMed Zantop T, Kubo S, Petersen W, Musahl V, Fu FH (2007) Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy 23:938–947CrossRefPubMed
Metadaten
Titel
Pseudoaneurysm of the articular branch of the descending genicular artery following double-bundle anterior cruciate ligament reconstruction
verfasst von
Masanori Tsubosaka
Takehiko Matsushita
Ryosuke Kuroda
Tomoyuki Matsumoto
Masahiro Kurosaka
Publikationsdatum
19.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 9/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3639-z

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