Cases

Keep up to date with latest cases in interventional radiology.

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Chest

Pulmonary AVM

18 May 2019

Middle aged female with dyspnea, hypoxia, CHF. SpO2 ~85% despite high flow O2 CHF NYHA IV HF EF 25% Elevated RVSP (47/25 mmHg)   [gview...

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Hepatobiliary

Post Whipples anastomotic leak

11 May 2019

Middle aged female presents 1 week after whipples procedure, with increasing abdominal pain. CT demonstrate peri-anastomotic collection. Within next few hours, patient becomes HD unstable and on pressors. Transferred to university...

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Hepatobiliary

RT Portal Vein + Segment 4 Veins + RT Hepatic vein embolization

09 May 2019

Young male with colorectal mets. Presents with hepatic lesions involving both lobes. Tumor board discussion. Request for RT PVE , segment 4 Embo and RT HV embo.   [gview...

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Gastrointestinal

Provocative angiogram

27 April 2019

A middle aged person, on anticoagulants for MVR presents with acute drop in Hb, Non invasive tests including endoscopy, colonoscopy along with NM study were negative. Negative angiograms x 2,  still continues to bleed requiring...

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Gastrointestinal

PDA Pseudoaneurysm

19 April 2019

An old male patient awaiting for CABG in next few days presented to ER with acute abdominal pain. CT demonstrate an moderately large PSA and was referred to IR for embolization. [gview...

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Gastrointestinal

Splenic artery Pseudoaneurysm embolization: Coils migration

15 April 2019

A middle aged person with acute pancreatitis developed PSA over the course. Referred to IR for embolization, which was successful. Over the course, it was noted unraveling of the coils and the patient was asymptomatic. A combined...

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Gynaecology

Pelvic Bleed

07 April 2019

Young female with metastatic cervical cancer, S/P chemo therapy, radiotherapy, surgery. S/P bilateral neph tubes placements secondary to ureteric involvement from the pelvic mass. Present admission for exchange of the tubes,...

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Endocrine

Adrenal venous sampling

03 April 2019

Young male with resistant hypertension requiring at least 3 or more Hypertensive medications. Underwent tests including blood work and Imaging. Imaging revealed a left adrenal adenoma. For further evaluation, patient was referred...

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Vascular

Beware of the accesses. RT CFA extravasation

21 March 2019

CFA access to perform angiogram. Post procedure resulted in large hematoma.   [gview file="http://ir4u.info/wp-content/uploads/2019/03/CFA-Extravasation.pdf"]...

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Chest

SVC stenosis

21 March 2019

Lung cancer: -S/P Pneumonectomy -Multiple radiation treatments to the mediastinum -Presenting with swollen face, shortness of breath   [gview...

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