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- Angiography and embolisation for solid abdominal organ injury in adults - a current perspective
![a) A patient with vasculitic hepatic artery aneurysms presented following minor trauma. Axial contrast enhanced CT demonstrates haematoma around a pseudoaneurysm (arrow) indicating that this is the likely cause of recent haemodynamic instability. b) 3D volume rendered reconstruction demonstrates 3 aneurysms arising from a branch of the left hepatic artery (arrows). The right hepatic artery arose from the SMA. c) Selective arteriogram of the coeliac axis with standard catheter after 2 aneurysms had been embolised with onyx (ev3, Irvine, CA, USA). The cast of the onyx is demonstrated, and some distal embolisation (arrow) of onyx. d) A microcatheter is demonstrated within the final bleeding aneurysm (arrow). e) A selective angiogram demonstrates onyx filling all aneurysms and maintained patency of the gastroduodenal artery.](https://www.researchgate.net/profile/Lyn-Jones/publication/44806019/figure/fig2/AS:202927164661761@1425393014047/a-A-patient-with-vasculitic-hepatic-artery-aneurysms-presented-following-minor-trauma_Q320.jpg)
a) A patient with vasculitic hepatic artery aneurysms presented following minor trauma. Axial contrast enhanced CT demonstrates haematoma around a pseudoaneurysm (arrow) indicating that this is the likely cause of recent haemodynamic instability. b) 3D volume rendered reconstruction demonstrates 3 aneurysms arising from a branch of the left hepatic artery (arrows). The right hepatic artery arose from the SMA. c) Selective arteriogram of the coeliac axis with standard catheter after 2 aneurysms had been embolised with onyx (ev3, Irvine, CA, USA). The cast of the onyx is demonstrated, and some distal embolisation (arrow) of onyx. d) A microcatheter is demonstrated within the final bleeding aneurysm (arrow). e) A selective angiogram demonstrates onyx filling all aneurysms and maintained patency of the gastroduodenal artery.
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