Korean J Radiol.  2007 Apr;8(2):173-175. 10.3348/kjr.2007.8.2.173.

Transarterial Embolization of an Inferior Genicular Artery Pseudoaneurysm with Arteriovenous Fistula after Arthroscopy

• Puig J
• Perendreu
• Fortuno JR
• Branera J
• Falco J

• KMID: 1126842
• DOI: http://doi.org/10.3348/kjr.2007.8.2.173

Abstract

Arthroscopic meniscectomy of the knee is generally a safe and effective procedure with a low rate of vascular complications. We report here on a unique case of a 55-year-old man with a lateral inferior genicular artery pseudoaneurysm and a concomitant arteriovenous fistula that developed after arthroscopic meniscectomy; this was successfully treated with selective angiographic embolization. This case illustrates the effectiveness of an endovascular approach as a minimally invasive treatment for this uncommon complication that occurs after an arthroscopic procedure.

Keyword

Arteriovenous malformations; Interventional procedures; Interventional procedures, technology; Knee

MeSH Terms

Aneurysm, False/*etiology/*therapy
Angiography
Arteriovenous Fistula/*etiology/*therapy
Arthroscopy/*adverse effects
Embolization, Therapeutic/*methods
Humans
Knee Joint/radiography/surgery
Leg/*blood supply
Male
Middle Aged

Figure

• 

  Fig. 1 A. Digital subtraction intraarterial angiography reveals a pseudoaneurysm originating from the inferior genicular artery (arrow) with shunting of contrast into the venous system (arrowheads). B. Postembolization digital subtraction intraarterial angiography demonstrating the embolized pseudoaneurysm; note the coils that were used and complete occlusion of the aneurismatic fistula (arrow).

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