Cases

The cases presented in this website are those performed by IR physicians at various institutes. These include a mix of simple to complex cases. These are meant to be educational and didactic in nature. Some are self-explanatory while some require additional reading. As these are very time consuming, efforts were made to include as much information as possible.

This is compilation of contributions from various IR physicians from multiple institutions.

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Oncology

Case 104: Celiac Plexus Neurolysis

31 March 2021

➔Male patient in 70‘s with past history significant for Carcinoma stomach, S/P Total gastrectomy ➔Presently, recurrence at the anastomotic site and severe intractable pain, uncontrollable with medications ➔Palliative...

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Genito-urinary

Case 103: Trans-Stomal Ureteric Stent Retrieval

31 March 2021

Male in mid 50’s, with Ileal conduit for Bladder cancer complicated by distal ureteric anastomotic stricture Managed by Trans-stomal stent and maintenance by regular exchanges Recent exchange by an Urologist at an...

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Vascular

Case 102: Variant Venous Anatomy

14 March 2021

A female patient with right neck Hickman catheter presents now with dysfunction of the catheter. In addition, there was recent swelling of the right upper extremity. Request for venogram and possible intervention. [pdf-embedder...

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Orthopedics

Case 101:Prophylactic Embolization of Lytic Metastases

10 March 2021

A male in 70's , prior treated for Renal cell carcinoma. Now presents with bony metastases.  Recommended for surgical fixation, in concern for pathological fracture. Referred to IR for prophylactic embolization.[pdf-embedder...

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Gastrointestinal

Case 100: Provocative mesenteric Angiogram

07 March 2021

Female in 50’s Presentation: A. fib and recurrent lower GI bleeds, presenting with hematochezia and acute blood loss anemia. Concern for diverticular bleed. Referred to IR further evaluation   [pdf-embedder...

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Genito-urinary

Case 99: Antegrade Ureteric Stent Retrieval

17 February 2021

A male patient with malignant ureteric obstruction underwent ureteric stent placement. Presented to Urology for routine exchange. Unsuccessful in retrieval and exchange by retrograde approach. Referred to IR for...

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Vascular

Case 98: Thrombosed Arterio-venous loop graft

15 February 2021

A middle aged patient with left thigh loop AV graft. Currently thrombosed. Presents to IR for Declot. Following are the images demonstrating the declot performed by me. [pdf-embedder...

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Vascular

Case 97: Portcath placed by Surgeon

11 February 2021

A patient recently had a left chest wall portcath placed by a surgeon. Presents today due to discomfort, swelling in the neck Portcath dysfunction. Request to IR for portcath check. [pdf-embedder...

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Gastrointestinal

Case 96: Transesophageal Gastrostomy Tube Placement

10 February 2021

A young male with metastatic lung cancer. Palliative care, having difficulties in feeding. Referred to IR for percutaneous gastrostomy tube placement. IR gastrostomy tubes are easy to perform, if there's a safe window to...

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Cardiac

Case 95: Chylous Pericardial Effusion

06 February 2021

A female in mid 60's S/P Septal myectomy and membrane resection Developed post operative pericardial effusion [pdf-embedder url="http://ir4u.info/wp-content/uploads/2021/02/Case-95-Pericardial-lymph-leak-embo.pdf" title="Case...

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