Fig. 2
From: Tibial access for supra-inguinal embolization in extremely obese patients
Patient 1 Subsequent angioembolization procedure via a trans-tibial approach: Ultrasound guided access into the distal right ATA (*) over the distal tibial cortex (arrow). Hand injection through vascular sheath following ATA access (arrow) showing reflux into the PTA (b). Left internal iliac angiogram via base 0.035 catheter (arrow) demonstrates occluded left pudendal artery (*), and no signs of hemorrhage in the left hemi-pelvis (c). Right internal iliac angiogram via base 0.035 catheter (arrow) was negative for hemorrhage (d). Hemostasis of the ATA (− − - indicates underlying arterial course) was achieved with a large TR band (* indicates balloon; arrowhead points to inflation port) buttressed by a single piece of cloth tape (e)