凝固障害を伴った人工股関節全置換術中の大腿深動脈損傷に対しNBCAを用いた塞栓術にて止血を得た1例

書誌事項

タイトル別名
  • Successful Embolization Using N-butyl Cyanoacrylate for Iatrogenic Profunda Femoris Artery Injury During Total Hip Arthroplasty with Coagulopathy: A Case Report

この論文をさがす

説明

Total hip arthroplasty (THA) is one of the most frequently performed orthopedic surgeries. Although THA is relatively safe, a complication that sometimes occurs is severe bleeding. Transcatheter arterial embolization (TAE) is the first-choice treatment for bleeding, but surgery is also sometimes used. A woman in her 80s was admitted to our hospital, and THA with the direct anterior approach was performed. After the operation, severe bleeding from a drain persisted. Extravasation was found around the operation wound on enhanced computed tomography, and so emergency TAE was performed. Angiography revealed extravasation from a branch of the profunda femoris artery. Because coagulopathy was present, we selected N-butyl cyanoacrylate (NBCA) as the embolus material. There were no complications associated with TAE for this patient. For TAE performed for bleeding after THA, a gelatin sponge or micro-coil is often selected as the embolus material. As in cases of severe trauma, it is important to select NBCA as the embolus material for postoperative bleeding after THA, taking into consideration the patient’s coagulation status.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390001204434881536
  • NII論文ID
    130005689955
  • DOI
    10.11407/ivr.31.356
  • ISSN
    21856451
    13404520
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

問題の指摘

ページトップへ