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Osteonecrosis of femoral head occurred after stent placement of femoral artery.

Shimatani A, Inori F, Yoshida T, Tohyama M, Konishi S, Ohashi H - Case Rep Orthop (2014)

Bottom Line: We present a case of osteonecrosis of femoral head (ONFH) that occurred after stent angiography of femoral artery for the treatment of arteriosclerosis obliterans (ASO) of left inferior limb in a 76-year-old woman.No case of late collapse of femoral head as a complication of endovascular procedure such as stent placement has been previously documented.We considered that ONFH occurred after detaining stent at a junction of left deep femoral artery for the treatment of the ischemia of left lateral and medial femoral circumflex artery.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka 545-0053, Japan.

ABSTRACT
We present a case of osteonecrosis of femoral head (ONFH) that occurred after stent angiography of femoral artery for the treatment of arteriosclerosis obliterans (ASO) of left inferior limb in a 76-year-old woman. No case of late collapse of femoral head as a complication of endovascular procedure such as stent placement has been previously documented. We considered that ONFH occurred after detaining stent at a junction of left deep femoral artery for the treatment of the ischemia of left lateral and medial femoral circumflex artery.

No MeSH data available.


Related in: MedlinePlus

Plain radiography. (a) Just after the stent placement in another hospital. Stent is detained in left femoral artery. Left femoral head was not collapsed. (b) At the time of admission to our hospital. Left femoral head was collapsed and joint space disappeared.
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fig1: Plain radiography. (a) Just after the stent placement in another hospital. Stent is detained in left femoral artery. Left femoral head was not collapsed. (b) At the time of admission to our hospital. Left femoral head was collapsed and joint space disappeared.

Mentions: A 76-year-old woman complained of left inferior limb pain and intermittent claudication. She was diagnosed with ASO in another clinic about 10 years ago. While the prolonged conservative medical treatment was undergone, the condition got worse. Then, she consulted a vascular surgeon in another hospital and the angiographic examination was undergone. The complete obstruction of left femoral artery was observed. Percutaneous transluminal angiography (PTA) was performed and stent was detained at the left femoral artery (Figure 1(a)). Revascularization was achieved and she could walk about 300 meters postoperatively. However, the left inferior limb pain still remained. Since the limb pain got worse, she was not able to walk five months after detaining stent. She was diagnosed with rapidly destructive coxarthrosis by plain radiography in an orthopaedic clinic and admitted to our hospital for the purpose of total hip arthroplasty (THA). She had no history of a large quantity of alcohol or steroid drug intake.


Osteonecrosis of femoral head occurred after stent placement of femoral artery.

Shimatani A, Inori F, Yoshida T, Tohyama M, Konishi S, Ohashi H - Case Rep Orthop (2014)

Plain radiography. (a) Just after the stent placement in another hospital. Stent is detained in left femoral artery. Left femoral head was not collapsed. (b) At the time of admission to our hospital. Left femoral head was collapsed and joint space disappeared.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4150498&req=5

fig1: Plain radiography. (a) Just after the stent placement in another hospital. Stent is detained in left femoral artery. Left femoral head was not collapsed. (b) At the time of admission to our hospital. Left femoral head was collapsed and joint space disappeared.
Mentions: A 76-year-old woman complained of left inferior limb pain and intermittent claudication. She was diagnosed with ASO in another clinic about 10 years ago. While the prolonged conservative medical treatment was undergone, the condition got worse. Then, she consulted a vascular surgeon in another hospital and the angiographic examination was undergone. The complete obstruction of left femoral artery was observed. Percutaneous transluminal angiography (PTA) was performed and stent was detained at the left femoral artery (Figure 1(a)). Revascularization was achieved and she could walk about 300 meters postoperatively. However, the left inferior limb pain still remained. Since the limb pain got worse, she was not able to walk five months after detaining stent. She was diagnosed with rapidly destructive coxarthrosis by plain radiography in an orthopaedic clinic and admitted to our hospital for the purpose of total hip arthroplasty (THA). She had no history of a large quantity of alcohol or steroid drug intake.

Bottom Line: We present a case of osteonecrosis of femoral head (ONFH) that occurred after stent angiography of femoral artery for the treatment of arteriosclerosis obliterans (ASO) of left inferior limb in a 76-year-old woman.No case of late collapse of femoral head as a complication of endovascular procedure such as stent placement has been previously documented.We considered that ONFH occurred after detaining stent at a junction of left deep femoral artery for the treatment of the ischemia of left lateral and medial femoral circumflex artery.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka 545-0053, Japan.

ABSTRACT
We present a case of osteonecrosis of femoral head (ONFH) that occurred after stent angiography of femoral artery for the treatment of arteriosclerosis obliterans (ASO) of left inferior limb in a 76-year-old woman. No case of late collapse of femoral head as a complication of endovascular procedure such as stent placement has been previously documented. We considered that ONFH occurred after detaining stent at a junction of left deep femoral artery for the treatment of the ischemia of left lateral and medial femoral circumflex artery.

No MeSH data available.


Related in: MedlinePlus