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Peer-reviewedCC BYJournal of Vascular Surgery Cases and Innovative Techniques

Endovascular repair of iatrogenic popliteal artery injury with acute limb ischemia during unicompartmental knee arthroplasty

  • Kazuhiro Asano, MD1
  • Tatsuya Nakama, MD2
  • Kotaro Obunai, MD2
  1. 1Correspondence: Kazuhiro Asano, MD, Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32, Todaijima, Urayasu, Chiba 279-0001, Japan
  2. 2Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
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Abstract

Iatrogenic popliteal artery injury is a rare but severe complication of knee arthroplasty. A 75-year-old woman developed massive bleeding and acute limb ischemia during unicompartmental knee arthroplasty. Angiography showed severe popliteal flow impairment with thrombus and absent distal runoff. Because bleeding was controlled and guidewire crossing appeared feasible, an endovascular-first strategy was chosen. After successful crossing, an intravascular ultrasound scan confirmed severe arterial wall disruption and an adequate distal landing zone. VIABAHN stent grafts excluded the injured segment, and tibial thrombus aspiration restored distal perfusion. The patient was discharged without gait impairment. Endovascular-first treatment may be effective in selected patients.

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Cite

BibTeXRIS
BibTeX
@article{kazuhiroasano2026endovascular,
  title = {{Endovascular repair of iatrogenic popliteal artery injury with acute limb ischemia during unicompartmental knee arthroplasty}},
  author = {Kazuhiro Asano, MD and Tatsuya Nakama, MD and Kotaro Obunai, MD},
  journal = {Journal of Vascular Surgery Cases and Innovative Techniques},
  year = {2026},
  month = nov,
  doi = {10.1016/j.jvscit.2026.102543},
  url = {https://doi.org/10.1016/j.jvscit.2026.102543},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Endovascular repair of iatrogenic popliteal artery injury with acute limb ischemia during unicompartmental knee arthroplasty
AU  - Kazuhiro Asano, MD
AU  - Tatsuya Nakama, MD
AU  - Kotaro Obunai, MD
PY  - 2026
DA  - 2026/11/02
JO  - Journal of Vascular Surgery Cases and Innovative Techniques
DO  - 10.1016/j.jvscit.2026.102543
UR  - https://doi.org/10.1016/j.jvscit.2026.102543
AB  - Iatrogenic popliteal artery injury is a rare but severe complication of knee arthroplasty. A 75-year-old woman developed massive bleeding and acute limb ischemia during unicompartmental knee arthroplasty. Angiography showed severe popliteal flow impairment with thrombus and absent distal runoff. Because bleeding was controlled and guidewire crossing appeared feasible, an endovascular-first strategy was chosen. After successful crossing, an intravascular ultrasound scan confirmed severe arterial wall disruption and an adequate distal landing zone. VIABAHN stent grafts excluded the injured segment, and tibial thrombus aspiration restored distal perfusion. The patient was discharged without gait impairment. Endovascular-first treatment may be effective in selected patients.
SN  - 2468-4287
ER  -