Percutaneous Radiologic Gastrostomy: Navigating Angles with Balloon Assistance Percutaneous radiologic gastrostomy is a procedure where air is injected into the stomach, then the stomach wall is pressed against the abdominal wall. Under fluoroscopy guidance, a needle is used from outside the skin to puncture the stomach, and then a tube is inserted Today, I will … Read more
Today’s case 13 – Embolization for GI bleeding Today, I will discuss a classic case of upper gastrointestinal bleeding that I treated myself. The patient presented to the Emergency Room (ER) due to melena, which occurred earlier that day. A dynamic contrast-enhanced computed tomography (CT) scan revealed contrast extravasation in the stomach. An ER resident … Read more
Today’s case 12 – Successful selective thoracic duct embolization(TDE) Today, I will discuss the technique of thoracic duct embolization, which is used to treat chyle leakage resulting from surgical procedures or trauma to the thoracic duct. Lymphatic intervention to treat chyle leakage is a well-known technique among interventional radiologists, but it is not widely performed. … Read more
Today’s case 11 – May-Thurner syndrome Today I will introduce May-Thurner syndrome induced DVT and its treatment I’m not sure why, but lately there seems to be an unusually high number of patients with Deep Vein Thrombosis (DVT) caused by May-Thurner Syndrome. Personally, I think it might be related to the current cold weather in … Read more
Interventional treatment for post traumatic high flow priapism The patient reported that he fell down, hitting his buttocks on the floor after slipping off the edge of a chair at home. Approximately two hours later, while undressing to shower, he discovered blood on his underwear and observed hematuria during urination, prompting a visit to the … Read more
IVC filter removal : how to remove filter without snaring hook A patient who had an IVC filter inserted three weeks ago came to the procedure room for filter removal. Having no prior personal experience with filter removal, I reviewed several cases before entering the procedure room. The sheath insertion proceeded without complications. We used … Read more
Hair wire fracture during insertion of PCD As a result, a new puncture was performed, and a PCD tube was inserted. The fractured guidewire was planned to be removed at a later time. Through the existing PCD tract, we attempted to insert an 8Fr sheath and maintained the tract with a 0.035″ guidewire. We made … Read more
Vaginal postpartum bleeding This patient is a 32-year-old female who experienced fetal death in utero today. She has a pre-existing coagulopathy, and due to the anticipated risk of massive bleeding during childbirth, embolization for postpartum bleeding has been pre-emptively requested. Instagram
Pulmonary artery aneurysm embolization (How to remove the glue cast which migrated into unwanted vessel) A 72-year-old female patient with chronic inflammation due to NTM developed a systemic to pulmonary shunt in the left lung, for which bronchial artery embolization was performed. While successfully occluding the bronchial artery, a pulmonary artery aneurysm was identified on … Read more
Liver abscess percutaneous drainage case (Hepato-venous fistula) A 40-year-old male undergoing cancer treatment for pancreatic cancer due to pancreas cancer presented to the emergency room after experiencing a fever for three consecutive days. A CT scan revealed the presence of abscess formation with a double target sign in segment 6 of the liver. The patient … Read more