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Fig. 6 | CVIR Endovascular

Fig. 6

From: Use of the triple coaxial (triaxial) microcatheter system in superselective arterial embolisation for complex interventional cases: an initial experience with the system

Fig. 6

a and b DSAs from the left subclavian artery demonstrating a Type II endoleak post thoracic endovascular aortic repair (TEVAR) with opacification of the aneurysm sac from one of the left intercostal artery. c Selective cannulation of the efferent left intercostal artery with the 1.6-Fr. microcatheter (small arrow) with the stability offered by the 2.7-Fr. intermediate microcatheter (large arrow). This artery was embolised with NBCA glue (1:3 dilution with lipiodol). d Glue cast within the embolised intercostal artery. e The 1.6-Fr. microcatheter was discarded, and the rest of the sac was embolised with multiple Ruby detachable coils (Penumbra, California, USA) via the intermediate 2.7-Fr. microcatheter. f Completion image showing exclusion of the aneurysm sac

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