Endovascular Management of Recurrent Spontaneous Hemarthrosis After Arthroplasty

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• 作者：Marcin K. Kolber ; Pratik A. Shukla…
• 关键词：Hemarthrosis ; Arthroplasty ; Embolization
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：40
• 期：2
• 页码：216-222
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Imaging / Radiology; Cardiology; Nuclear Medicine; Ultrasound;
• 出版者：Springer US
• ISSN：1432-086X
• 卷排序：40

文摘

PurposeRecurrent spontaneous hemarthrosis is an infrequent but debilitating late complication of joint replacement, affecting up to 1.6% of patients with arthroplasty of the affected joint. Repeated episodes of bleeding result in an inflammatory cascade that further propagates bleeding events. Open and arthroscopic synovectomy are often performed when conservative treatments fail. Transarterial embolization is increasingly utilized as a less invasive option; however, its role is not widely established. We performed a systematic literature review to report the safety and efficacy of transarterial embolization in treating recurrent hemarthrosis in the setting of prior arthroplasty.