Cases

Keep up to date with latest cases in interventional radiology.

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Genito-urinary

Ureteric recanalization

11 June 2019

Young female with ureteric injury during emergency cesarean section, leading to nephrostomy tube placement. Failed attempts by retrograde approach. Presents to IR for possible internalization.   [gview...

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Vascular

Phrenic artery embolization

02 June 2019

Patient with known pancreatic cancer, developed a large pseudocyst. his was drained by placement of a cystogastrostomy tube. 1 week later presents with an active upper GI bleed.   [gview...

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Vascular

Optease Filter retreival

29 May 2019

Optease filter is not recommended in the present day due to its design and difficulties associated with removal. Still we do come across cases with these type of filters. The strict recommendation is to get these removed within...

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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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