Endovascular treatment of epistaxis.

Aim: Embolization of external carotid vessels in the treatment of intractable epistaxis is not well documented in Australasia. The aim of the present retrospective study was to audit our experience with the technique, and to compare it with other centres.

Methods: Retrospective review.

Gelfoam embolization of a distal coronary artery guidewire perforation.

A guidewire-induced distal coronary artery perforation presenting with cardiac tamponade was occluded by distal Gelfoam embolization via an infusion catheter. This extends the treatment options for this rare complication of coronary interventional procedures. Cathet.

The value of pulmonary angiograms when lung scans disagree with clinical impressions about emboli.

When selective magnification pulmonary angiography was done within 48 hours of a Ventilation/Perfusion (VP) scan, disagreement between scan and angiogram findings was common. Correlation was poor in both high and low probability of embolism groups as defined by scan. Analysis of individual scan diagnostic criteria showed them to be as unreliable as all of them taken together.

Intractable postpartum haemorrhage managed by angiographic embolization: case report and review.

A case of intractable postpartum haemorrhage successfully managed by angiographic embolization is presented. The literature concerning angiographic embolization and internal iliac artery ligation is reviewed. Angiographic embolization is a superior method to internal iliac artery ligation in appropriately selected cases of obstetric haemorrhage, and may also be used successfully in cases where internal iliac ligation and/or hysterectomy has failed to control pelvic haemorrhage.

Extensive pulmonary embolism associated with lupus anticoagulant.

A female patient with extensive pulmonary emboli associated the lupus anticoagulant is described. She made a good recovery with heparin treatment.

Biplanar angiography through Swan-Ganz catheters.

Twenty-eight patients had biplanar angiography performed through wedged Swan-Ganz Catheters. In only five cases were the catheter tips symmetrically placed within the vessels in both AP and lateral views. The value of performing angiography immediately after placement of a Swan-Ganz catheter is discussed.

Coronary arteriography; method of presentation of the arteriogram report and a scoring system.

A coronary arteriographic report presentation consisting of a diagram on which the radiologist draws the coronary arterial anatomy of each individual case is described. The diagram allows a clear visual presentation of all the information gained from the analysis of the original arteriographic study including anatomical variations, the position and importance of each artery in terms of the myocardium it supplies, the sites and severity of obstructions and the presence of collateral pathways. A myocardial scoring system which expresses the severity of left ventricular arterial obstructive disease is also presented.

Traumatic hemobilia: a complication of percutaneous liver biopsy.

Two patients with hemobilia are presented. The first patient, with alcoholic liver disease, had a percutaneous liver biopsy. Subsequently he developed jaundice, with an enlarged tender gallbladder, biliary colic, and gastrointestinal bleeding.

Renal autotransplantation using hypothermic storage and pulsatile perfusion.

Three patients with severe hypertension secondary to renal artery stenosis were treated by renal autotransplantation. Of these 3 patients 2 had solitary kidneys and 1 had 2 renal arteries to each kidney, all of which were stenosed. Renal autotransplantation with hypothermia of the kidney was performed in all 3 patients rather than the more conventional arterial bypass or endarterectomy because 1) hypothermic preservation permitted a prolonged ischemia time and 2) there was improved exposure for the vascular anastomosis.