Post-Total-Knee-Arthroplasty Popliteal Artery Intimal Tear Repaired With Endoluminal Balloon Angioplasty
J. Andrew Sedrick, BS, Jane Ho, BA, DO, John A. Stern, MD, Alan T. McDaniel, MD, and Craig R. Mahoney, MD
Mr. Sedrick and Dr. Ho are with Des Moines University, Des Moines, Iowa.
Dr. Stern is with Iowa Clinic Vascular Surgery, Des Moines, Iowa.
Dr. McDaniel is with Mercy Hospital Radiology, Des Moines, Iowa.
Dr. Mahoney is Adjunct Faculty, College of Health Sciences, Des Moines University, Des Moines, Iowa.
Abstract not available. Introduction provided instead.
Arterial vascular injury after total knee arthroplasty (TKA) is rare; its rate of occurrence is 0.03% to 0.17%.1,2 Post-TKA arterial occlusion can be caused by thrombosis, fascial obstruction, plaque embolization, or direct trauma to the vessel.3,4 Optimal treatment options for popliteal artery occlusion are primary repair of the vessel and saphenous vein bypass.5 In this article, we report a case of post-TKA popliteal artery occlusion with suspected intimal flap disruption treated endovascularly with percutaneous transluminal angioplasty (PTA).