Percutaneous transcatheter embolization for arterial trauma

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Presentation transcript:

Percutaneous transcatheter embolization for arterial trauma Thomas Panetta, M.D., Salvatore J.A. Sclafani, M.D., Alan S. Goldstein, M.D., Thomas F. Phillips, M.D. Journal of Vascular Surgery Volume 2, Issue 1, Pages 54-64 (January 1985) DOI: 10.1016/0741-5214(85)90175-2 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, AV fistula between internal mammary artery and subclavian vein was misdiagnosed as aortic arch pseudoaneurysm (arrows). Note absence of internal mammary artery on left. B, Selective internal mammary angiogram demonstrating fistula (arrow) subsequently obliterated with coils. Journal of Vascular Surgery 1985 2, 54-64DOI: (10.1016/0741-5214(85)90175-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A, Subtle presacral hemorrhage (arrows) over posterior element pelvic fracture was treated by Gelfoam embolization. B, Multiple bleeding sites (arrows) in patient with Malgaigne fracture were treated with Gelfoam embolization. Journal of Vascular Surgery 1985 2, 54-64DOI: (10.1016/0741-5214(85)90175-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A, Hepatic artery (arrow) to hepatic vein (arrowhead) AV fistula was subsequently treated by PTE with coils. B, Vertebral AV fistula was subsequently obliterated with coils. Journal of Vascular Surgery 1985 2, 54-64DOI: (10.1016/0741-5214(85)90175-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 A, This profunda femoral AV fistula was secondary to a gunshot wound. B, Selective angiogram of superficial femoral artery in same patient demonstrates patent distal profunda femoris artery feeding AV fistula through collateral pathways (arrow). C, Fistula was isolated by proximal and distal coil embolization. Journal of Vascular Surgery 1985 2, 54-64DOI: (10.1016/0741-5214(85)90175-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 High internal carotid injury (arrow) was treated with coil embolization. Journal of Vascular Surgery 1985 2, 54-64DOI: (10.1016/0741-5214(85)90175-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions