Key result
Iatrogenic injury to the profunda femoris artery during dynamic hip screw fixation was successfully identified via CT angiogram and treated with selective endovascular coil embolization.
Case Report (n=1)
No
Endovascular coil embolization is a safe and effective method for managing iatrogenic profunda femoris artery injuries following orthopedic hip surgery.
Alerts clinicians to rare vascular injury risk in hip fixation; leaves open optimal prevention and screening protocols.
We present a case of a profunda femoris artery injury during a dynamic hip screw fixation for an intertrochanteric fracture. This was identified clinically on the ward and confirmed with a CT angiogram. The bleeder was then treated by coil embolization, and laboratory results showed significant improvement in hemoglobin level after blood transfusion.
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Lal et al. (2023) conducted a case report in Iatrogenic injury to profunda femoris artery during dynamic hip screw fixation (n=1). Dynamic hip screw fixation and subsequent endovascular coil embolization was evaluated on Identification and treatment of iatrogenic vascular injury. Iatrogenic injury to the profunda femoris artery during dynamic hip screw fixation was successfully identified via CT angiogram and treated with selective endovascular coil embolization.
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