Raf Patel

Superficial Femoral Artery Rupture Following Angioplasty

This case reviews the various options for treating arterial rupture post-angioplasty including a discussion of principles to be adhered to in order to avoid such a situation in the first place.

Acute Renal Artery Occlusion and Trapped Renal Artery Catheter During Infrarenal AAA Stent Grafting

This case reviews the management of an occluded renal artery by the fabric of an aortic stent graft during an EVAR procedure.

Management of a Type 1B Endoleak Following EVAR

This case reviews the management of a distal type 1 endoleak following EVAR by embolization of the internal iliac artery. Displacement of a coil during the procedure is also discussed.

Superficial Femoral Artery Thrombosis Post-angioplasty

This case reviews the different approaches to dealing with acute thrombosis following angioplasty. An example of a thrombolysis regimen is given in addition to technique for thromboaspiration.

Fistula Rupture Post-fistuloplasty

This case outlines management of rupture of an arteriovenous fistula following balloon dilatation of a stenosis with a cutting balloon. Clinical and technical tips are provided for dealing with such a situation acutely.

Persistent Type 2 Endoleak Post-EVAR with Aneurysm Expansion

This case illustrates the treatment of a type 2 endoleak following fenestrated EVAR by coil embolization of the IMA.

Femoral Artery Pseudoaneurysm Treated with Percutaneous Thrombin Injection

This case illustrates the treatment of a post-femoral artery catheterization pseudoaneurysm with ultrasound-guided thrombin injection. Images illustrate the diagnosis and posttreatment appearances.

Migration of Common Hepatic Artery Stent Graft Occluding Right Hepatic Artery Flow

This case illustrates the technique of using adjacent/buttress stenting to keep open an artery compromised by a maldeployed stent graft.

Injury to Bowel Following Transplant Nephrostomy Insertion

This case illustrates the management of bowel perforation during transplant nephrostomy insertion. Tips for reducing the risk of this occurring are discussed.

Branch Endograft Disconnection and Impending Type 3 Endoleak Post-EVAR

This case illustrates the importance of follow-up imaging post-EVAR to detect modular disconnection and describes the management in one such case.