Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report
Rupture of the anterior cruciate ligament (ACL) is a common knee injury, and reconstruction via arthroscopy is popular for its safety and low complication rate, around 1%. Vascular injuries from this procedure are extremely rare, with an incidence of 0.003%-1%. Pseudoaneurysms following knee arthros...
| Autores: | , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/115919 |
| Acceso en línea: | https://hdl.handle.net/10171/115919 |
| Access Level: | acceso abierto |
| Palabra clave: | Pseudoaneurysm Inferomedial genicular artery Endovascular Anterior cruciate ligament |
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Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case reportBarrio-Piqueras, M. (Miguel)|||/items/e3d43e51-3b5a-4ed1-b33c-e7da8792cfbaVarela, C. (Cristobal)|||/items/ccb67f45-6bab-4d33-bcbe-ee21e52c9f1bMuñoz-Vázquez, Á.J. (Ángel Javier)|||/items/e3a75ba0-4cb7-45b5-96cf-29d6d2946f57Martinez-de-la-Cuesta, A. (Antonio)|||/items/db20a707-1d78-48ff-9a30-7af1cd628374PseudoaneurysmInferomedial genicular arteryEndovascularAnterior cruciate ligamentRupture of the anterior cruciate ligament (ACL) is a common knee injury, and reconstruction via arthroscopy is popular for its safety and low complication rate, around 1%. Vascular injuries from this procedure are extremely rare, with an incidence of 0.003%-1%. Pseudoaneurysms following knee arthroscopy are even less frequent. This paper discusses a rare case of pseudoaneurysm after ACL reconstruction in the articular branch of the right inferomedial genicular artery (IMGA), originating from an anterior tibial artery with a high origin. A 47-year-old man with Von Willebrand disease developed a 24 mm pseudoaneurysm 30 days post-ACL reconstruction. CT-angiography showed the pseudoaneurysm near the tibial tunnel screw and an unusually high anterior tibial artery origin. Emergency angiography confirmed this, and embolization using Squid Peri 18 was successful, with no complications. The patient recovered well. Vascular injury is a rare knee arthroscopy complication, but early diagnosis and awareness of anatomical variations are essential. Endovascular treatment for iatrogenic pseudoaneurysms is safe and effective and facilitates rapid recovery.Oxford University PressDadun. Depósito Académico Digital Universidad de Navarra20252025-01-0120252025-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/115919reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1159192026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| title |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| spellingShingle |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report Barrio-Piqueras, M. (Miguel)|||/items/e3d43e51-3b5a-4ed1-b33c-e7da8792cfba Pseudoaneurysm Inferomedial genicular artery Endovascular Anterior cruciate ligament |
| title_short |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| title_full |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| title_fullStr |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| title_full_unstemmed |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| title_sort |
Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report |
| dc.creator.none.fl_str_mv |
Barrio-Piqueras, M. (Miguel)|||/items/e3d43e51-3b5a-4ed1-b33c-e7da8792cfba Varela, C. (Cristobal)|||/items/ccb67f45-6bab-4d33-bcbe-ee21e52c9f1b Muñoz-Vázquez, Á.J. (Ángel Javier)|||/items/e3a75ba0-4cb7-45b5-96cf-29d6d2946f57 Martinez-de-la-Cuesta, A. (Antonio)|||/items/db20a707-1d78-48ff-9a30-7af1cd628374 |
| author |
Barrio-Piqueras, M. (Miguel)|||/items/e3d43e51-3b5a-4ed1-b33c-e7da8792cfba |
| author_facet |
Barrio-Piqueras, M. (Miguel)|||/items/e3d43e51-3b5a-4ed1-b33c-e7da8792cfba Varela, C. (Cristobal)|||/items/ccb67f45-6bab-4d33-bcbe-ee21e52c9f1b Muñoz-Vázquez, Á.J. (Ángel Javier)|||/items/e3a75ba0-4cb7-45b5-96cf-29d6d2946f57 Martinez-de-la-Cuesta, A. (Antonio)|||/items/db20a707-1d78-48ff-9a30-7af1cd628374 |
| author_role |
author |
| author2 |
Varela, C. (Cristobal)|||/items/ccb67f45-6bab-4d33-bcbe-ee21e52c9f1b Muñoz-Vázquez, Á.J. (Ángel Javier)|||/items/e3a75ba0-4cb7-45b5-96cf-29d6d2946f57 Martinez-de-la-Cuesta, A. (Antonio)|||/items/db20a707-1d78-48ff-9a30-7af1cd628374 |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Pseudoaneurysm Inferomedial genicular artery Endovascular Anterior cruciate ligament |
| topic |
Pseudoaneurysm Inferomedial genicular artery Endovascular Anterior cruciate ligament |
| description |
Rupture of the anterior cruciate ligament (ACL) is a common knee injury, and reconstruction via arthroscopy is popular for its safety and low complication rate, around 1%. Vascular injuries from this procedure are extremely rare, with an incidence of 0.003%-1%. Pseudoaneurysms following knee arthroscopy are even less frequent. This paper discusses a rare case of pseudoaneurysm after ACL reconstruction in the articular branch of the right inferomedial genicular artery (IMGA), originating from an anterior tibial artery with a high origin. A 47-year-old man with Von Willebrand disease developed a 24 mm pseudoaneurysm 30 days post-ACL reconstruction. CT-angiography showed the pseudoaneurysm near the tibial tunnel screw and an unusually high anterior tibial artery origin. Emergency angiography confirmed this, and embolization using Squid Peri 18 was successful, with no complications. The patient recovered well. Vascular injury is a rare knee arthroscopy complication, but early diagnosis and awareness of anatomical variations are essential. Endovascular treatment for iatrogenic pseudoaneurysms is safe and effective and facilitates rapid recovery. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 2025-01-01 2025 2025-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/115919 |
| url |
https://hdl.handle.net/10171/115919 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
Oxford University Press |
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Oxford University Press |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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