Today’s case 4 – Iatrogenic bleeding of deep femoral artery while insertion of A-line
Iatrogenic bleeding of deep femoral artery while insertion of A-line Q-radiology Instagram
Iatrogenic bleeding of deep femoral artery while insertion of A-line Q-radiology Instagram
Difficult PICC case (central vein stenosis) It appears that the guidewire encountered difficulty during insertion, and upon fluoroscopy examination, it was observed to be bent in a U-shape. Consequently, a venography procedure was performed using a contrast agent, revealing a constriction in the Right innominate vein. As a result, the wire tip, which was initially … Read more
Portal vein stent insertion for invaded main portal vein by pancreas head cancer The patient, who is currently undergoing palliative FOLFIRINOX chemotherapy for inoperable pancreatic cancer with liver metastasis and lymph node involvement, was admitted for elevated liver function tests (LFTs). A CT scan was performed, and upon review by the designated professor in the … Read more
TACE for HCC patient Today’s case -1– 69 year old patient with HCC, the patient have had RFA once and SABR to S8 marginal recurrence (‘21.9.23.- ‘21.10.5.). On follow up Liver CT, a nodular lesion is identifed which shows APHE and delayed washout. The patient refered to angio room for TACE I punctured the patient’s … Read more
The Sappey superior artery from the left inferior phrenic artery The Sappey superior artery Instagram Q-radiology
Azygoesophageal branch of inferior phrenic artery Azygoesophageal branch of IPA runs along azygoesophageal recess and reaches posterior lung base making typical U shape. Azygoesophageal branch of IPA almost always has a systemic-to-pulmonary shunt and is shown at cone-beam CT in about one-half of patients This branch seems to suppply the pleura of the lung base … Read more
PTBD is useful minimal invasive technique for bile drainage but when the patient’s bile duct is not dilated, the procedure gets really difficult Since nondilated bileduct is not well visualized on ultrasound, multiple puncture through the liver is needed than usual which makes the patient feel severe pain (even with enough local anesthesia) and makes … Read more
CARTO A 50 year-old female patient presented E.R with hematemesis. Urgent endoscopy was done. See below. Unfortunately the the patient’s Hemoglobin was not recovered to normal range until 3 days after the procedure and had recurrent melena. So we planned interventional procedure by reviewing previous CT scan. The hemoglobin normalized just one day after the … Read more