Cases

Keep up to date with latest cases in interventional radiology.

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Gastrointestinal

GDA Pseudoaneurysm – Post Cysto-gastrostomy tube placement

07 March 2019

Pseudocyst drainage by cysto-gastrostomy tube placement under EUS guidance complicated by PSA.   [gview file="http://ir4u.info/wp-content/uploads/2019/03/GDA-PSA-Cystogastrostomy.pdf"]...

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Chest

Intercostal artery bleed

04 March 2019

NF-1, Enlarged subcostal fibroma presents to ED with acute drop in Hb, Shock. [gview file="http://ir4u.info/wp-content/uploads/2019/03/ICA-bleed.pdf"]...

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Gastrointestinal

Ileo-colic artery bleed

03 March 2019

Acute lower GI bleed.   [gview file="http://ir4u.info/wp-content/uploads/2019/03/RT-Colic-bleed.pdf"]...

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Vascular

Splenic artery rupture

03 March 2019

Cirrhotic patient with portal HTN presents with acute intra-peritoneal hematoma. Request for embolization. [gview file="http://ir4u.info/wp-content/uploads/2019/03/Splenic-artery-rupture.pdf"]...

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Vascular

Post liver transplant, Hepatic artery anastomotic Pseudoaneurysm: A job well done by Thrombin

22 February 2019

Post liver transplant, HA pseudoaneurysm. Visceral angiogram demonstrate suspected prior native HA dissection and irregularities. Percutaneous approach with Thrombin using Ultrasound and intravascular ultrasound was planned to...

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Gastrointestinal

Colon bleed: Misguided by Colonoscopy

18 February 2019

Active lower GI bleed, colonoscopy suggested Caecal/ascending colon bleed and a endoclip placed for angiographic assistance.   [gview file="http://ir4u.info/wp-content/uploads/2019/02/Left-Colic-bleed.pdf"]...

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Gastrointestinal

TIPS with Venous varices embolization

18 February 2019

Obese patient with slow GI bleed. CTA demonstrate large anterior abdominal wall hernia, compressing the adjacent veins and causing venous congestion. Raised Portal pressures on Transjugular assessment. Negative endo and...

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Vascular

Pseudoaneurysm and Thrombin injection

15 February 2019

Attempted access into the artery for arterial line placement resulted in pseudoaneurysm. CT and US demonstrate a small neck. Failed US compression. Successful thrombosis after thrombin injection. [gview...

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Genito-urinary

Transjugular renal biopsy

14 February 2019

[gview file="http://ir4u.info/wp-content/uploads/2019/02/Transjugular-Renal-Biopsy.pdf"]...

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Genito-urinary

Renal bleed and dissection

14 February 2019

Post nephrolithotomy and nephrostomy tube insertion by nephrologist: Persistent drop in Hb and clots in the urine, suspecting bleed. Successful embolization. Repeat angiogram demonstrate residual bleeding, with the host catheter...

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