Endovascular Treatment of Iatrogenic Iliac Vein Rupture during Total Hip Arthroplasty: A Case Report

Abstract

We present a case of iatrogenic iliac vein rupture with venous thrombosis during total hip arthroplasty that was endovascularly treated with the insertion of covered and uncovered stents, aspiration, and balloon maceration of the thrombus. We describe in detail, with a schematic diagram, an endovascular treatment method that can be performed under local anesthesia alone and explain how to overcome the situation when the diameter of the covered stent is inadequate to cover the iliac vein.

Keywords

• iatrogenic disease
• endovascular procedures
• arthroplasty
• hip prosthesis