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Fig. 11 | CVIR Endovascular

Fig. 11

From: Review of proximal splenic artery embolization in blunt abdominal trauma

Fig. 11

37 year old male with an AAST grade III splenic injury following high speed motor vehicle crash. a Splenic artery DSA with a catheter in the splenic artery (black arrow) demonstrating a focal pseudoaneurysm (white arrows). b A base catheter in the splenic artery (small white arrow), with a 5 F microcatheter fed through a tortuous splenic artery (large white arrow). The tortuosity and distance of this pseudoaneurysm precludes the use of traditional covered stents in this area. c Post coil embolization DSA showing a treated pseudoaneurysm. d One week after embolization, an axial contrast enhanced CT through the spleen demonstrates distal embolization coils (small white arrow), an area of focal infarction (small black arrow), and a splenic abscess (large black arrow). A partially visualized drain is present within the infected collection (large white arrow)

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