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CVIR Endovascular
Fig. 1 | CVIR Endovascular

Fig. 1

From: Covered stent assisted coil embolization of large Buhler aneurysm in setting of chronic celiac trunk occlusion

Fig. 1

Preoperative imaging of the arch of Bühler (AOB) aneurysm. A Contrast sagittal CT-scan showing a 2.8 cm saccular aneurysm (arrowhead) without mural thrombus originating from SMA. Substantial pre-occlusive stenosis of celiac trunk (arrow) by LAM. B Pre stenting selective angiography of SMA, in AP projection (accessory right hepatic artery (black arrow)), and oblique projection C allows insight into this anatomy variant. A 0.035 “Amplatz guidewire as safety wire is stabilized in SMA (white arrowhead) while the working 0.014”micro-guidewire end in splenic artery (white arrow) after looping inside the aneurysm. A small accessory right hepatic artery (black arrow) is also present. D Its origin (arrowhead) on VR3D reconstruction was thereafter covered by Viabahn without consequences

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