Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage.

Objectives: To compare the efficacy of polyvinyl alcohol (PVA) particles with microcoils in angiembolisation of non variceal acute gastrointestinal haemorrhage.

Methods: This is a retrospective cross-sectional study of patients who underwent transcatheter angioembolization from January, 1995 to December, 2013 at Aga Khan University Hospital, Karachi. Patients were divided into two groups on basis of use of either microcoils or PVA particles and compared in terms of technical success, clinical success, re-bleeding and ischemic complication rates.

Outcome of radiologically placed tunneled haemodialysis catheters.

Objective: To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure.

Study Design: Case series.

Place And Duration Of Study: Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011.

An unsuspected bleeding Meckel's diverticulum in an adult detected on mesenteric angiography.

Meckel's diverticulum is usually asymptomatic and found in almost 2% of the population. Haemorrhage from a Meckel's diverticulum is common in children but rare in adults. Here we report a case of 20 years old male with recurrent gastrointestinal bleeding.

Abdominal tuberculosis with massive jejunal haemorrhage.

Jejunum is a rare site of involvement in intestinal tuberculosis (TB) and massive lower gastrointestinal haemorrhage is an even rare reported condition. The authors report a 15-year-old female student, who presented with fever, anaemia, hypoalbunemia and developed massive lower gastrointestinal haemorrhage during hospital stay. The diagnosis of abdominal TB was established on tissue biopsy; tissue culture was positive for Mycobacterium TB.

Rare co-occurrence of dural arteriovenous fistula and arteriovenous malformation with bilateral subcortical and basal ganglia calcification.

The present study describes the imaging findings in a patient with dural arteriovenous fistula (AVR) and arteriovenous malformation (AVM) with bilateral subcortical and basal ganglia calcification. A 29 year old male patient presented with chief complaint of recent onset of generalized tonic clonic seizures and mild disorientation. The imaging studies on MCT demonstrated diffuse, symmetric calcification in the bilateral basal ganglia and subcortical white matter.

Role of endovascular treatment in vascular injuries.

Objective: To evaluate retrospectively the results, complications and follow-up of patients after endovascular treatment of vascular injuries.

Methods: Fifty transcatheter embolisation procedures (TCE) were performed in 46 patients between 1999 and 2008 at the Aga Khan University Hospital, Karachi. Injuries in 14 (30.

Concurrent intracranial and spinal arteriovenous malformations: Report of two pediatric cases and literature review.

Background: Concurrent intracranial and spinal arteriovenous malformations (AVMs) are very rare with only a few cases being reported in literature. Two of the rare concurrent intracranial and spinal AVM cases are presented.

Case Description: Case 1 is a 12-year-old girl with headache and motor disturbances in the lower limbs.

Endovascular approach as primary treatment for traumatic carotid cavernous fistula: local experience from Pakistan.

Objective: To evaluate the technical success, complications and outcome of endovascular management of post traumatic carotid cavernous fistula (CCF) in patients presenting at a tertiary care hospital in Karahci.

Methods: Descriptive case series of 26 patients of post traumatic CCF treated by endovascular techniques was carried out at Radiology and Neurosurgery departments of Aga Khan University hospital between January 2010 to March 2010. Medical records and radiology reports were retrospectively reviewed from November 2000 to December 2009.

Accuracy of 64-slice multidetector computed tomography scan in detection of the point of transition of small bowel obstruction.

Purpose: To determine the accuracy of 64-slice multidetector computed tomography scans in detecting the point of transition of small bowel obstruction by using surgical findings as the gold standard.

Materials And Methods: Cross-sectional study of 59 patients with SBO who underwent 64-slice MDCT scans of the abdomen followed by surgery from 1 June 2008 to 31 January 2010 at a tertiary care center. Point of transition between distended and collapsed small bowel loops were precisely determined on 64-slice MDCT and subsequently correlated with surgical findings.

Haemobilia: a rare cause of gastrointestinal bleeding.

Iatrogenic injury to hepatic duct leading to pseudoaneurysm and haemobilia can occur following laparoscopic cholecystectomy. We report a case of a 60 years old man presenting with haematemesis found to have pseudoaneurysm of accessory hepatic artery 4 months after laparoscopic cholecystectomy. Diagnosis was made by computed tomography (CT) scan followed by celiac and mesenteric artery angiogram.

Transjugular intrahepatic portosystemic shunt (TIPS); review of initial experience at Aga Khan University Hospital.

Objective: To retrospectively assess the therapeutic effectiveness and safety of transjugular intrahepafic portosystemic shunt (TIPS) in patients with portal hypertension related complications.

Methods: Over a period of 7.5 years 19 patients (10 males and 9 females, age range 25-69 years) were referred for TIPS at our radiology department.

Treatment of intracranial aneurysms using detachable coils; initial results at a university hospital in Pakistan.

Objective: To evaluate the technical success, safety and outcome of endovascular coiling procedure in intracranial aneurysms.

Methods: From April 2003 to April 2009, 43 patients (23 males and 20 females), age range 11 to 70 years, mean age 46.67 +/- 11.

Bronchial artery embolization in the treatment of massive hemoptysis.

Objective: To evaluate the efficacy of bronchial arteriography and bronchial artery embolization (BAE) in the management of massive hemoptysis in a developing Asian country.

Methods: A retrospective review was carried out from March 2000 to March 2005 to evaluate the demographics, clinical presentation, radiographic studies, bronchoscopy results, and complications of bronchial arteriography and BAE at a tertiary care hospital in Pakistan.

Results: Fourteen patients (9 males, 5 females) with a mean age of 49 years underwent bronchial arteriography and BAE for massive hemoptysis.

Endovascular stenting of a leaking thoracic aortic pseudoaneurysm.

Rupture of an aortic aneurysm is a major cause of early mortality during the course of disease. A less invasive approach with fewer complications is sought. A case of leaking thoracic aortic aneurysm is presented, where endovascular approach was adapted owing to ongoing sepsis.