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Pseudoaneurysm of the Anterior Tibial Artery after Ankle Arthroscopy.
MedLine Citation:
PMID:  21406329     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The formation of an arterial pseudoaneurysm as a complication of ankle arthroscopy is extremely rare, with a reported incidence of 0.008%. Pseudoaneurysm is especially unlikely after ankle arthroscopy by means of standard anteromedial and anterolateral portals. In this report, we describe a case of a pseudoaneurysm of the anterior tibial artery detected 2 weeks after ankle arthroscopy in a 63-year-old woman. The diagnosis was confirmed with a Doppler ultrasonography scan of the right ankle, after which the patient was referred to an interventional radiologist, who performed an angiogram. Endovascular embolization of the pseudoaneurysm was performed thereafter, and the patient experienced an uneventful recovery after the intervention. The potentially catastrophic sequelae of delayed diagnosis or misdiagnosis of the complication, like hemarthrosis of the ankle and compartment syndrome, are dangerous and must not be underestimated. Therefore, a high degree of suspicion for a pseudoaneurysm should be maintained in the postarthroscopy period when a patient presents with abnormal swelling and pain. Potentially preventative measures include careful dissection while making the portals and preoperative mapping of the vascular structures with a duplex or handheld Doppler.
Authors:
Eva Jacobs; Diederik Groot; Marco Das; Joris Hermus
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-14
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  -     ISSN:  1542-2224     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Student, Maastricht University, Faculty of Health, Medicine and Life Sciences, Maastricht, The Netherlands.
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