Simultaneous Left Gastric Vein (LGV) Embolization And Portal Vein (PV) Recanalization By Endovascular RFA And Stenting
01. Portography after left PV peripheral patentbranch puncture 02. Introducer sheath is advance and portography “above the thrombus” is performed 03. Portography “below the thrombus” – tumor thrombus is documented 04. Guidewire and 5Fr diameter advantage catheter is introduced in left gastric vein (LGV) 05. Contrast injection in LGV depicts esophageal varicosis 06. LGV embolization by coil implantation 07. Post-embolization contrast injection in LGV documents no more esophageal varicosis 08. Portography for ablation aiming 09. 8Fr diameter bipolar RF device is positioned for thrombus processing 10. 14 mm diameter vascular stent in introduced 11. 14 mm diameter vascular stent is introduced, portography is performed via the introducer sheath 12. Stent is implanted 13. Post-procedure portography […]
Bilateral Endobiliary Biopsy and Tumor Stricture Recanalization By Endoluminal RFA With Subsequent Stenting Using PTBD Fistuli
01. Contrast is injected via the right side PTC catheter 02. Guide wire is conducted through the stricture 03. Guide wire is conducted from the left side also 04. Endoluminal biopsy forceps is open 05. Forceps is closed – biopsy is done 06. Biopsy is performed from right side also 07. Tumor block is processed using 8 Fr diameter bipolar endoluminal RF electrode 08. Stents are positioned bilaterally 09. Both stents are expanded in tumor stricture area 10. Biliary patency complete restoration is documented 11. Movie file – enduluminal biopsy using left PTBD fistula