Document Type : TECHNICAL NOTE
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
Revision of an intrapelvic migration of the acetabular component of a total hip is a challenging surgery due to the
risk of injury to the pelvic viscera. The primary concern is vascular injury due to the risk of mortality and limb loss.
The researchers present one case where the acetabular screw was near the posterior branch of the internal iliac
artery. A Fogarty catheter was placed in the internal iliac artery preoperatively, and the amount of fluid to inflate
the catheter and completely block the artery was determined. The catheter was kept in a deflated condition. The
hip reconstruction was performed, and there was no incidence of vascular injury during the procedure; hence, the
Fogarty catheter was removed postsurgery. The placement of a Fogarty catheter in the at-risk vessel provides the
freedom to proceed with the hip reconstruction through the standard approach. In case of an inadvertent event of
a vascular injury, it can be inflated with the predetermined amount of saline to check the bleeding until the vascular
surgeons take over the case.
Level of evidence: V