|MATERIALS AND METHODS:
The objective of this study was to describe the angiographic findings of late spontaneous hemarthrosis
after total joint arthroplasty
and to illustrate the therapeutic role of angiography.
A retrospective multicenter study was performed looking for patients who underwent an angiography for spontaneous hemarthrosis
occurring at least 1 month after total joint arthroplasty
. Eight patients were included, all suffering from spontaneous hemarthrosis
. One patient had an additional large extra-articular hematoma
Angiography in eight cases revealed hypertrophic vascular synovium in seven patients with an additional false aneurysm
in one patient. Hypervascularization with pooling of contrast spots was seen in one patient. Five patients underwent selective arterial particulate embolization. Three patients were successfully embolized after one session, one was successful after two sessions, and one patient needed surgery after two embolization sessions.
Angiography for late spontaneous hemarthrosis
is very effective to exclude or establish vascular malformations
and to establish the diagnosis of hypertrophic vascular synovium. Selective arterial embolization seems to be a good therapeutic option as alternative to open or arthroscopic synovectomy.
|Authors||E Dhondt, F M Vanhoenacker, O D' Archambeau, A Snoeckx, L Defreyne
(Affiliation: Department of Vascular and Interventional Radiology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium. elisabethdhondt at yahoo.com)
ISSN: 0364-2348 [Print] Germany
(Publication Type: Journal Article, Multicenter Study)
- Aged, 80 and over
- Angiography, Digital Subtraction
- Arthroplasty, Replacement
- Embolization, Therapeutic
- Postoperative Complications
- Retrospective Studies