case_images: PMC10894529_01
case_images: Axial (a) and sagittal (b) multiplanar reconstructions with maximum intensity projection of portal venous contrast-enhanced computed tomography scan done immediately after the misplacement of the pericardiocentesis drain (arrow) showing its route through the hepatic parenchyma to the left hepatic vein. The catheter tip is in the inferior vena cava. The second pericardiocentesis drain is well positioned into the pericardium (arrowhead).
case_images: 10.1177_17539447241234655-fig1.jpg
case_images: PMC10894529_01_10.1177_17539447241234655-fig1.jpg
case_images: fig1-17539447241234655
case_images: A slight perihepatic peritoneal effusion was also noted without active bleeding signs (Figure 1).
case_images: (a) Fluoroscopy images performed with contrast injection through the 8 Fr sheath (white Asterix) showing the intra-parenchymal tract through the left hepatic vein (white arrow). (b) DSA shows the intrahepatic tract (arrow's head) connected to the IVC through the left hepatic vein. (c) Deployment of AVP 2 into the intrahepatic tract (black arrows). (d) DSA after intrahepatic injection of media contrast shows no extravasation of contrast in the hepatic tract well occluded by the AVP 2 device (black arrows). Note the third disk of the AVP deployed against the hepatic capsule.. AVP 2, Amplatzer Vascular Plug II; DSA, digital subtracted angiography; IVC, inferior vena cava.
case_images: 10.1177_17539447241234655-fig2.jpg
case_images: PMC10894529_01_10.1177_17539447241234655-fig2.jpg
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case_images: A digital subtracted angiography via the sheath showed the transhepatic route and a contrast leakage in the peritoneal space (Figure 2).
case_images: Axial (a) and sagittal (b) multiplanar reconstructions of a non-enhanced CT performed 4 days after the procedure: vascular plug well deployed in the hepatic tract (arrow). Note that the proximal disk of the AVP 2 is applied against the hepatic capsule (arrow's head).. AVP 2, Amplatzer Vascular Plug II.
case_images: 10.1177_17539447241234655-fig3.jpg
case_images: PMC10894529_01_10.1177_17539447241234655-fig3.jpg
case_images: fig3-17539447241234655
case_images: The clinical follow-up revealed no discrepancies, and a CT scan 4 days after the procedure showed correct plug placement with no evidence of peritoneal suffusion (Figure 3).