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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-09-2017 | Knee

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

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

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2017

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

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

Armato DP, Czamecki D (1990) Geniculate artery pseudoaneurysm: a rare complication of arthroscopic surgery. AJR Am J Roentgenol 155:659CrossRefPubMed

Beck DE, Robison JG, Hallett JW Jr (1986) Popliteal artery pseudoaneurysm following arthroscopy. J Trauma 26:87–89CrossRefPubMed

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

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

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

Hussein MK, Lakkis SA (1998) Pseudoaneurysm of the popliteal artery following arthroscopic meniscectomy. Bull Hosp Jt Dis 57:162–164PubMed

Julien TP, Gravereaux E, Martin S (2012) Superior medial geniculate artery pseudoaneurysm after primary total knee arthroplasty. J Arthroplasty 27(323):e313–e326

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.

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.

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.

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.

Manning MP, Marshall JH (1987) Aneurysm after arthroscopy. J Bone Joint Surg Br 69:151PubMed

14.

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.

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.

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.

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

18.

Rachakonda A, Qato K, Khaddash T, Carroccio A, Pamoukian V, Giangola G (2015) Ultrasound guided thrombin injection of genicular artery pseudoaneurysm. Ann Vasc Surg. doi:10.1016/j.avsg.2014.12.037 PubMed

19.

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.

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.

Sarrosa EA, Ogilvie-Harris DJ (1997) Pseudoaneurysm as a complication of knee arthroscopy. Arthroscopy 13:644–645CrossRefPubMed

22.

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

23.

Tisi PV, Callam MJ (2013) Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev 11:CD004981. doi:10.1002/14651858.CD004981.pub4

24.

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.

Vincent GM, Stanish WD (1990) False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Joint Surg Am 72:770–772CrossRefPubMed

26.

Zantop T, Kubo S, Petersen W, Musahl V, Fu FH (2007) Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy 23:938–947CrossRefPubMed

Title: Pseudoaneurysm of the articular branch of the descending genicular artery following double-bundle anterior cruciate ligament reconstruction
Authors: Masanori Tsubosaka
Takehiko Matsushita
Ryosuke Kuroda
Tomoyuki Matsumoto
Masahiro Kurosaka
Publication date: 01-09-2017
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-015-3639-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Level of evidence

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