1. An Overview of Breast Emergencies and Guide to Management by Interventional Radiologists 
Amanda D. Ingram, MD, Mary C. Mahoney, MD 
Techniques in Vascular & Interventional Radiology 
Volume 17, Issue 1, Pages (March 2014)
DOI: /j.tvir
Copyright © 2014 Elsevier Inc. Terms and Conditions

2. Figure 1
Ultrasound image of a hypoechoic abscess with layering mobile debris in the right breast.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

3. Figure 2
A 15-G peel-away sheath and needle. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

4. Figure 3
The needle and sheath are advanced into the collection with ultrasound guidance.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

5. Figure 4
Close-up image of a trocar through the catheter. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

6. Figure 5
The needle is removed and a 5-F pigtail catheter is advanced through the sheath. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

7. Figure 6
The tip of the 5-F catheter is seen advancing through the needle inside the abscess.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

8. Figure 7
The catheter is seen exiting the tip of the peel-away sheath after removing the needle. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

9. Figure 8
The pigtail catheter is fully deployed in the abscess. Once adequate positioning is confirmed, the peel-away sheath is removed.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

10. Figure 9
Pigtail catheter is shown through the peel-away sheath. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

11. Figure 10
Peel-away sheath is removed, leaving the pigtail catheter in place. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

12. Figure 11
The abscess collection decreases in size as the purulent fluid is aspirated.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

13. Figure 12 The abscess is irrigated with saline.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

14. Figure 13
Postbiopsy hemorrhage has led to significant asymmetric enlargement of the left breast and bruising extending over the left breast and down the side and flank. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

15. Figure 14
Large left breast hematoma from a seat belt injury with a blush of contrast indicating active extravasation. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

16. Figure 15
A hypoechoic pseudoaneurysm with an echogenic rim in the left axilla.
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

17. Figure 16
Color flow Doppler imaging demonstrates the swirling “ying-yang” appearance characteristic of a pseudoaneurysm. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

18. Figure 17
Power Doppler imaging clearly demonstrates the feeding artery. This vessel should be identified before treatment. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

19. Figure 18
A 25-G needle is advanced into the pseudoaneurysm with ultrasound guidance. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions

20. Figure 19
Thrombin is slowly injected into the pseudoaneurysm under ultrasound visualization until internal flow ceases. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 55-63DOI: ( /j.tvir )
Copyright © 2014 Elsevier Inc. Terms and Conditions