A "Blush Sign": Radiological Harbinger of Delayed Pseudoaneurysm Formation After Vein Graft Angioplasty. (November 2013)

• Record Type: Journal Article
• Authors: Hollingsworth, Andrew; Duddy, Martin; Tiwari, Alok
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 8(2013)
• Page Start: 656
• Page End: 659
• Publication Date: 2013-11
• Subjects: vein graft stenosis -- infra inguinal bypass -- pseudoaneurysm -- vein graft rupture -- balloon angioplasty -- contrast stain; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574413500537
• Languages: English
• ISSNs: 1538-5744

Abstract

Vein graft stenosis is a well-recognized complication of infrainguinal bypass surgery. Balloon angioplasty is an accepted method for managing vein graft stenosis in selected patients. This intervention is not without complication. We present 2 cases of delayed pseudoaneurysm formation after balloon angioplasty of vein graft stenoses. Both cases showed a persistent contrast stain or blush as an indication of vein wall damage and propose that this is a radiological harbinger of delayed rupture and pseudoaneurysm formation.