Manual on-the-fly physician postprocessing of computed tomographic angiography data guides embolotherapy of atypical bleeding following paracentesis; a case report

Nasir Siddiqi; Mohamed Issa; Driss Raissi; Chengao Qian; Gaby Gabriel; Michael Winkler

doi:10.1016/j.clinimag.2019.03.006

Manual on-the-fly physician postprocessing of computed tomographic angiography data guides embolotherapy of atypical bleeding following paracentesis; a case report

Clin Imaging. 2019 Nov-Dec:58:1-4. doi: 10.1016/j.clinimag.2019.03.006. Epub 2019 Jun 5.

Authors

Nasir Siddiqi¹, Mohamed Issa¹, Driss Raissi¹, Chengao Qian¹, Gaby Gabriel¹, Michael Winkler²

Affiliations

¹ Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America.
² Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America; Department of Medicine, Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky Chandler Medical Center, United States of America. Electronic address: michael.winkler@usamobility.net.

PMID: 31207444
DOI: 10.1016/j.clinimag.2019.03.006

Abstract

Major bleeding, typically due to laceration of abdominal wall arteries or venous varices, is a rare but serious complication of paracentesis. We report a case of major bleeding post paracentesis to evidence that a sequence of 1) customized post processing of computed tomographic angiography data for periprocedural guidance, followed by 2) transcatheter cyanoacrylate glue embolotherapy, is the optimal treatment of this complication.

Keywords: Angiography; CTA; Embolotherapy; Hemoperitoneum; Postprocessing; Volume rendering.

Publication types

Case Reports

MeSH terms

Aged
Computed Tomography Angiography
Diagnosis, Differential
Embolization, Therapeutic / methods
Hemoperitoneum / diagnostic imaging*
Hemoperitoneum / etiology
Hemoperitoneum / therapy
Humans
Iatrogenic Disease
Male
Paracentesis / adverse effects*
Point-of-Care Testing*