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Fig. 4 | CVIR Endovascular

Fig. 4

From: A rare case of a giant arterio-venous fistula (AVF) following metastatic choriocarcinoma conditioning pulmonary embolism: multimodal transcatheter embolization using a simultaneous transarterial and transvenous approach

Fig. 4

Diagnostic phlebography via trans-femoral of the right gonadal vein shows (a) multiple thrombi (arrows). Amplatzer plug placement (arrows) via trans-jugular to occlude the right gonadal vein (b) to simultaneously reduce AVF-outflow and avoid pulmonary embolism. Contrast-enhanced MDCT after 24 h confirms (c) the correct placement of the plug (arrows)

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