A quick fix: graft rescue for iatrogenic pseudoaneurysm.
We present a case of delayed rupture of a femoro-popliteal saphenous vein bypass graft after stent-supported angioplasty, resulting in a large, severely symptomatic pseudoaneurysm of the thigh. This was successfully treated with deployment of a covered stent graft. The possible mechanisms of pseudoaneurysm formation in this case are discussed, and a brief review of the literature regarding the endovascular management of this clinical entity is offered.
Rajachandran
Manu
M
Deborah Heart and Lung Center, Endovascular Medicine, 200 Trenton Road, Browns Mills, NJ 08015, USA. rajachandranm@deborah.org
Klym
Kelly
K
Salvaji
Madhu
M
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D018570:Risk Assessment; D015607:Stents; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000009:adverse effects*