case_images: PMC11714054_01
case_images: (A) Celiac angiography demonstrates early and brisk filling of the splenic artery (dash arrow) with delayed opacification of the intrahepatic arteries (arrow). (B) Delayed celiac angiography images show persistent slow filling of the intrahepatic arteries (arrow) and early opacification of the splenoportal venous system (dash arrow).
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case_images: Bloomington, IN) showed patent common hepatic artery and proper hepatic artery anastomosis; however, there was decreased caliber and delayed filling of the right and left intrahepatic arteries (Fig. 1). Brisk antegrade flow within the gastroduodenal artery, splenic artery, and gastric artery branches with early filling of the splenoportal venous system noted on angiogram.
case_images: (A) Celiac angiography with balloon occlusion (arrowhead) of the proximal splenic artery demonstrates improved flow and filling of the intrahepatic arteries (arrows). (B) Delayed celiac angiography with balloon occlusion (arrowhead) shows filling of segmental intrahepatic branches (arrows) without early opacification of the splenoportal venous system.
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case_images: Thru Lumen embolectomy catheter (Edwards Lifesciences, Irvine, CA) was placed into the proximal splenic artery. The Fogarty Thru Lumen embolectomy catheter was insufflated, and then celiac angiography via the sheath with simultaneous occlusion of the proximal splenic artery (Fig. 2) was performed showing significant improvement in flow and contrast filling of the right and left intrahepatic arteries.
case_images: (A) Post embolization celiac angiography shows proximal embolization of the splenic artery using an Amplatzer vascular plug (arrowhead) with satisfactory stasis and delayed filling of the distal splenic artery (dash arrow) via collaterals. There is improved flow and filling of the proximal intrahepatic arteries (arrows). (B) Delayed post embolization celiac angiography shows contrast filling the segmental intrahepatic arteries (arrows) without early opacification of the splenoportal venous system.
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case_images: Postembolization celiac angiography demonstrated proximal splenic artery embolization with satisfactory stasis and delayed filling of the distal splenic artery via collaterals (Fig. 3).