Popliteal Venotomy During Posterior Cruciate Ligament Reconstruction in the Setting of a Popliteal Artery Bypass Graft

被引:11
|
作者
Nemani, Venu M. [1 ]
Frank, Rachel M. [2 ]
Reinhardt, Keith R. [1 ]
Pascual-Garrido, Cecilia [1 ]
Yanke, Adam B. [2 ]
Drakos, Mark [1 ]
Warren, Russell F. [1 ]
机构
[1] Hosp Special Surg, New York, NY 10021 USA
[2] Rush Univ, Med Ctr, Dept Orthoped Surg, Chicago, IL 60612 USA
来源
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2012年 / 28卷 / 02期
关键词
D O I
10.1016/j.arthro.2011.11.023
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Injury to the vascular structures in the popliteal fossa during arthroscopic cruciate ligament reconstruction can be limb threatening or even life threatening. We present the first report, to our knowledge, of an isolated injury to a popliteal vein during arthroscopic posterior cruciate ligament reconstruction. Unfortunately, the venotomy led to cardiopulmonary arrest and flash pulmonary edema in this patient. Preoperative planning is paramount to assess risk of injury to vascular structures, which may be increased in patients who have had prior procedures on the affected knee. Furthermore, vascular surgery consultation preoperatively after a magnetic resonance angiogram or venogram and avoiding the use of epinephrine in the arthroscopy fluid should be considered when performing these higher-risk procedures.
引用
收藏
页码:294 / 299
页数:6
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