Percutaneous transcatheter embolization of lesions of the extremities

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Presentation transcript:

Percutaneous transcatheter embolization of lesions of the extremities John S. Train, M.D., Harold A. Mitty, M.D., Sol J. Dan, M.D., Moshe Haimov, M.D., Julius H. Jacobson, M.D. Journal of Vascular Surgery Volume 1, Issue 5, Pages 710-717 (September 1984) DOI: 10.1016/0741-5214(84)90146-0 Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Peripheral hemangioma (case 1). A, Femoral arteriogram. Arrow indicates branch of profunda which, when injected, caused burning in distribution of patient's pain. B, Selective injection of branch vessels demonstrates multiple fine, irregular vessels. This branch was embolized with Gelfoam plugs. C, Follow-up angiogram 6 months later reveals persistent occlusion (between arrows). Journal of Vascular Surgery 1984 1, 710-717DOI: (10.1016/0741-5214(84)90146-0) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Peripheral hemangioma (case 3). A, Selective profunda femoris angiogram reveals mildly vascular mass of thigh. Two feeding branches were embolized with Gelfoam and coils. Coils were placed behind Gelfoam to encourage permanent occlusion. B, Postembolization study reveals occlusion (arrows). Note coils in place. Journal of Vascular Surgery 1984 1, 710-717DOI: (10.1016/0741-5214(84)90146-0) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Aneurysmal bone cyst (case 4). A, Axillary artery angiogram demonstrates large expansile, relatively hypervascular mass. Segment of fibula used as graft is seen in center of lesion. Three feeding vessels (arrows) were embolized with Gelfoam plugs. B, Postembolization study reveals occlusion of these branches (arrows). Unfortunately, biopsy at time of third curettage demonstrated associated osteosarcoma, and amputation was performed. Journal of Vascular Surgery 1984 1, 710-717DOI: (10.1016/0741-5214(84)90146-0) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Bleeding from anterior tibial artery (case 9). A, Femoral arteriogram reveals faint extravasation from anterior tibial artery (arrow). Posterior tibial artery is displaced. B, Popliteal-femoral arteriogram demonstrates retrograde filling of distal anterior tibial artery via perineal and posterior or tibial branches, indicating good collateral flow. C, Selective injection of anterior tibial artery reveals extravasation. Note some filling of the anterior tibial artery distal to site of extravasation (arrow). D, Vessel has been embolized with both Gelfoam and coil. Residual contrast in area of extravasation due to stasis. Journal of Vascular Surgery 1984 1, 710-717DOI: (10.1016/0741-5214(84)90146-0) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions