Fig. 4
From: Tibial access for supra-inguinal embolization in extremely obese patients
Patient 2 Angioembolization: Hand injection left external iliac angiogram to delineate the origins of the ipsilateral abdominal wall arteries (a). Deep circumflex iliac angiogram without active extravasation, which was subsequently embolized to stasis with Gelfoam slurry (b). Inferior epigastric angiogram (inset shows fluoroscopic last image hold; long arrow points to base catheter, short arrow points to microcatheter) without active extravasation; this vessel was also embolized to stasis with polyvinyl alcohol particles (c). Hemostasis of the PTA (− − - indicates underlying course) was achieved with a large TR band (* indicates balloon; arrowhead points to inflation port) buttressed by a single piece of cloth tape (d)