Complete External Iliac Vein Transection during Hip Arthroplasty Requiring Stent Graft Reconstruction with Long-Term Follow-up

A 50-year-old female with a history of infected left total hip arthroplasty underwent left total hip prosthesis reimplantation. The patient developed massive bleeding intraoperatively, and an emergent angiogram was requested. Pelvic arteriography demonstrated multiple areas of active hemorrhage arising from branches of the left gluteal artery and profunda femoris treated with Gelfoam (Pfizer, Washington, DC) and coil embolization. Despite embolization, the patient remained hemodynamically unstable, requiring a massive transfusion protocol.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Extreme IR Source Type: research