S. D. Qanadli

Life-threatening spontaneous psoas haematoma treated by transcatheter arterial embolization.

Abstract. We report two cases of large spontaneous psoas haematoma in patients on anticoagulant therapy. Active bleeding was well demonstrated on spiral CT. Transcatheter arterial embolization was used successfully to stop bleeding. The diagnostic strategy, the relevance of spiral computed tomography and our therapeutic approach to this complication are discussed.

Treatment of Hemoptysis in Behçet Syndrome with Pulmonary and Bronchial Embolization

VASCULAR involvement in Behget syndrome occurs in more than 25% of patients, rarely associating pulmonary artery aneurysms (PAAs) and deep venous thrombosis (referred to as Hughes-Stovin syndrome) (1). The high incidence of hemoptysis leading to death, presumably resulting from the rupture of PAAs, is responsible for the poor prognosis of the disease when pulmonary involvement is present (2). We describe two patients in whom percutaneous transcatheter occlusion of all the PAAs was performed and combined with embolization of bronchial arteries.

Anomalous origin of the left coronary artery arising from the pulmonary trunk: report of an adult case with long-term follow-up after surgery

Abstract. An anomalous origin of the left coronary artery arising from the pulmonary artery is a congenital malformation rarely described in adults. We report the case of a 65-year-old patient with this anomaly. Clinical presentation, imaging identification (coronary angiogram, MRI and electron-beam CT), surgical treatment and angiographic long-term follow-up are described.

Implanted central venous catheter-related acute superior vena cava syndrome: management by metallic stent and endovascular repositioning of the catheter tip

Abstract. We describe a case of a 49-year-old woman with stage-IIIB lung adenocarcinoma who experienced an acute superior vena cava syndrome related to an implanted central venous catheter without associated venous thrombosis. The catheter was surgically implanted for chemotherapy. Superior vena cava syndrome appeared after the procedure and was due to insertion of the catheter through a subclinical stenosis of the superior vena cava. Complete resolution of the patients symptoms was obtained using stent placement and endovascular repositioning of the catheter tip.

Tomodensitométrie hélicoïdale et dissections aortiques

Resume La tomodensitometrie helicoidale joue un role critique et preponderant dans lˈevaluation des patients suspects de dissection aortique. La disponibilite et lˈefficacite de cette technique non seulement dans le diagnostic et le bilan dˈextension de la dissection, mais aussi dans lˈetude complete du thorax et de lˈabdomen, en font un outil ideal pour lˈexploration de la pathologie aortique aigue. Les scanners multicoupes de plus en plus disponibles apportent des benefices certains en terme de resolution et de rapidite dˈexploration.

A new vascular sealant (Sealgel) to achieve rapid hemostasis after percutaneous angioplasty in anticoagulated patients: clinical feasibility and preliminary results

Abstract The aim of this study was to assess the feasibility of a new vascular sealant (Sealgel) to provide rapid hemostasis in anticoagulated patients after percutaneous transluminal angioplasty (PTA). Sealgel was designed with ancrod (10 mg) and tranexamic acid (80 mg) dissolved in a hyaluronic acid gel (3 ml). Fifty anticoagulated patients (heparin, aspirin, ticlopidin) who underwent PTA of coronary artery were enrolled in the study. Sealgel (3 ml) was delivered under manual compression through a 9-F cannula at the arterial puncture site after the introducer sheath removal at the end of PTA procedure. Hemostasis time as well as complications were recorded. Sealgel was successfully delivered in 98 % of patients. Hemostasis occurred within 15 mn of manual compression in 82 % of patients, within 25 mn in 98 %, and failed in 1 patient (2 %). Hematoma (6-cm diameter) was observed in 1 patient and late bleeding in another one. There were no clinical signs of embolism, inflammatory swelling, local infection, vascular fistula, or pseudoaneurysm. No surgery or blood transfusion was required. Sealgel application after PTA in anticoagulated patient is feasible and secure. Preliminary results suggest that the Sealgel brought about rapid hemostasis; however further studies are needed to determine its clinical efficacy.

Percutaneous Extraction of Retained Biliary T-tubes: a New Technique

Retained T-tubes are rare complications after biliary surgery. The authors present three cases of retained T-tubes in patients with transplanted liver that could not be removed by a standard manual traction. The authors describe a new simple percutaneous method that allows removal of these T-tubes without complication.

THO-WP-4 Embolies pulmonaires non cruoriques : ce que le radiologue doit savoir

Objectifs Reconnaitre les differentes embolies pulmonaires non cruoriques. Connaitre les differentes modalites d’imagerie (radiographie de thorax, scintigraphie pulmonaire, tomodensitometrie multibarette, angiographie pulmonaire) et leurs resultats qui permettront de diagnostiquer une embolie pulmonaire non cruorique (tumorales microscopiques et macroscopiques, les septiques, gazeuses, graisseuses, corps etranger, ciment, mercure). Connaitre les elements qui permettront de les differencier des embolies pulmonaires cruoriques. Points cles A l’issue de ce poster, le lecteur doit etre capable de reconnaitre ces differentes entites en fonction du contexte et tableau clinique. Il doit connaitre leur aspect en imagerie qui permettra de les distinguer des embolies pulmonaires cruoriques.