Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy

Vascular complications after arthroscopy are rare and generally present as transient paresthesia most likely due to nervous injury or vasospasm. Rare cases of genicular artery injuries can occur and generally involve the medial genicular artery due to proximity to the right arthroscopic knee hook. T...

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Main Authors: Theja Bhamidipati, DO, Sakib Mohammad Adnan, MD, Evan Deutsch, MD, Nadia Awad, MD
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723003064
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author Theja Bhamidipati, DO
Sakib Mohammad Adnan, MD
Evan Deutsch, MD
Nadia Awad, MD
author_facet Theja Bhamidipati, DO
Sakib Mohammad Adnan, MD
Evan Deutsch, MD
Nadia Awad, MD
author_sort Theja Bhamidipati, DO
collection DOAJ
description Vascular complications after arthroscopy are rare and generally present as transient paresthesia most likely due to nervous injury or vasospasm. Rare cases of genicular artery injuries can occur and generally involve the medial genicular artery due to proximity to the right arthroscopic knee hook. This case, however, represents a rare lateral inferior genicular artery injury resulting in a symptomatic pseudoaneurysm. In addition, during the workup, the best visualization of the pseudoaneurysm was possible using duplex ultrasound. The diagnostic information seen on ultrasound was paramount and superseded the findings from conventional angiography and computed tomography angiography, both of which were nonspecific. In brief, this case not only highlights a rare surgical complication but also emphasizes the importance of duplex ultrasound compared with angiography and computed tomography in the workup of pseudoaneurysms.
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spelling doaj.art-4544bbcfcab14db188276743e4f415962024-03-23T06:25:33ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101397Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomyTheja Bhamidipati, DO0Sakib Mohammad Adnan, MD1Evan Deutsch, MD2Nadia Awad, MD3Correspondence: Theja Bhamidipati, DO, Division of Vascular and Endovascular Surgery, Jefferson Einstein Health, 5501 N York Rd, Philadelphia, PA 19141; Division of Vascular and Endovascular Surgery, Jefferson Einstein Health, Philadelphia, PADivision of Vascular and Endovascular Surgery, Jefferson Einstein Health, Philadelphia, PADivision of Vascular and Endovascular Surgery, Jefferson Einstein Health, Philadelphia, PADivision of Vascular and Endovascular Surgery, Jefferson Einstein Health, Philadelphia, PAVascular complications after arthroscopy are rare and generally present as transient paresthesia most likely due to nervous injury or vasospasm. Rare cases of genicular artery injuries can occur and generally involve the medial genicular artery due to proximity to the right arthroscopic knee hook. This case, however, represents a rare lateral inferior genicular artery injury resulting in a symptomatic pseudoaneurysm. In addition, during the workup, the best visualization of the pseudoaneurysm was possible using duplex ultrasound. The diagnostic information seen on ultrasound was paramount and superseded the findings from conventional angiography and computed tomography angiography, both of which were nonspecific. In brief, this case not only highlights a rare surgical complication but also emphasizes the importance of duplex ultrasound compared with angiography and computed tomography in the workup of pseudoaneurysms.http://www.sciencedirect.com/science/article/pii/S2468428723003064AngiographyCoil embolizationDuplex ultrasoundPseudoaneurysm
spellingShingle Theja Bhamidipati, DO
Sakib Mohammad Adnan, MD
Evan Deutsch, MD
Nadia Awad, MD
Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
Journal of Vascular Surgery Cases and Innovative Techniques
Angiography
Coil embolization
Duplex ultrasound
Pseudoaneurysm
title Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
title_full Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
title_fullStr Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
title_full_unstemmed Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
title_short Lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
title_sort lateral geniculate artery pseudoaneurysm after arthroscopic medial meniscectomy
topic Angiography
Coil embolization
Duplex ultrasound
Pseudoaneurysm
url http://www.sciencedirect.com/science/article/pii/S2468428723003064
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