Raymond Chung

Embolisation of a Proximal Type I Endoleak Post-Nellix Aortic Aneurysm Repair Complicated by Reflux of Onyx into the Nellix Endograft Limb

AbstractWe report the first case of intervention for a proximal type 1 endoleak following Nellix endovascular aneurysm sealing repair of an aortic aneurysm. This was complicated by migration of Onyx into one of the Nellix graft limbs causing significant stenosis. Subsequent placement of a covered stent to affix the Onyx between the stent and the wall of the Nellix endograft successfully restored stent patency.

Triplane fracture of the distal radius

We report the case of a 14-year-old boy who sustained a displaced triplane fracture of the distal radius. This was treated with closed reduction and application of a cast with good clinical and radiological results. We discuss (for the first time) the reasons for the rarity of this fracture at the distal radius compared to the distal tibia.

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.