Unusual embolization of Hip Replacement pseudotumor
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Baseline Central
An 81 year old woman, with hip replacement, was complaining of sharp pain in the prosthesis location.
The radiological examination showed periacetabular osteolysis and mass-forming tissue reaction around the metal-on-metal hip prosthesis.
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First Embolization
The angiographic examination showed some feeding vessels originating from the right femoral artery, the right iliac artery and the perforating artery.
By using a Direxion™ Hi-Flo preloaded with Fathom™-16 we catheterized the ascending branche of the lateral circumflex fermoral artery.
We embolized this vessel with 0.2cc of glue.
![](https://www.bostonscientific.com/en-IN/products/embolization/Direxion_Microcatheters/case_library/unusual_embolization_of_hip/_jcr_content/maincontent-par/image_10.img.case23_3.jpg)
Great Control
By using the same microcatheter we cannulated the second feeding vessel originating from the femoral artery.
During the third embolization, the torque control of the Direxion™ help us to engage a small vessel originating from the iliac artery and pass through this vessel to exclude a small anastomosis to the vagina.
Dott. Giuseppe Rossi – Chief of Department Angiographic Intervenional Radiology – Interventional Radiologist – Rizzoli Orthopedics Institute – Bologna
Dott. Matteo Renzulli – Interventional Radiologist – Sant’Orsola Malpighi Hospital – Bologna