Avoiding Vascular Misadventure: Pre-emptive Contralateral Endovascular Access in Revision Total Hip Arthroplasty: A Case Report.
David Isaacs, Connor Byrne, Yun Ke Du et al.
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Case in brief
A 73-year-old woman with severe acetabular bone loss underwent re-revision total hip arthroplasty using a custom triflange acetabular component. Pre-emptive contralateral vascular access was established to mitigate the risk of hemorrhage during surgery. This approach allowed for immediate control of potential bleeding. The patient remained symptom-free one year post-operation.
Diagnostic / clinical pearl
Pre-emptive contralateral vascular access in high-risk revision total hip arthroplasty can enhance surgical safety by allowing for immediate hemorrhage control.
Why it matters
This case highlights a proactive strategy that may reduce morbidity and mortality in complex orthopedic surgeries without significant additional risks.