Fig. 2

Seventy-one years old male with left thoracic wall iatrogenic bleeding after pleural drainage. A Coronal CT MIP reconstruction in arterial phase showing 14 mm PA (white dotted circle) refurnished by left thoraco-scapular branch. B Left succlavian DSA confirming the lesion (white dotted circle). C Color-US with linear probe identifying superficial PA. D Puncture of the lesion with a 20G 10 cm needle (black arrow) under US guidance (white arrow); skin suture of the previous drainage access is also evident (dotted black arrow). E After stylet removal, arterial blood sinked from needle hub (black arrow), confirming PA intraluminal needle tip positioning. F US showing proper intraluminal needle tip location (white arrow); initial glue cast formation is also evident (white dotted arrow). G Fluoroscopic monitoring of glue-Lipiodol injection into the PA (white dotted circle). H Final DSA confirming technical success, glue cast being appreciable (white dotted circle)