1.

Retroperitoneal tumor

Figure 4: (A, B) Selective catheter angiogram of the inferior mesenteric artery (IMA), (A)
shows a feeding vessel (arrow) and early tumor blush (arrowhead). Selective IMA
angiogram, (B) after particle embolization of the feeding branch of the IMA shows the
embolized feeding branch (arrow) with near complete loss of tumor blush (arrowhead)

As the mass was hypervascular, preoperative embolization of this mass was clinically
requested. On selective IMA catheter angiogram, there were dilated vascular branches
feeding this mass, with an early tumor blush, but no arteriovenous communication was
seen [Figure 4]A. Selective particle embolization of the feeding branch was performed
[Figure 4]B. The tumor was then surgically resected.

2. portal vein stenosis

 3. Portal HPN

Venous phase of a digital subtraction superior mesenteric angiogram (same patient as in the
previous image) shows a normal portal vein (PV) with no streaming effect from splenic venous
flow (arrow), suggestive of splenic vein thrombosis. The final diagnosis was left-sided portal
hypertension secondary to splenic vein thrombosis.

3. Aortic Coarctation
Aortic dissection

Liver Cirrhosis
Aortic Trauma

Pulmonary angiography. Venous phase of a right pulmonary angiogram. The vascular nidus
drains into a normal-appearing pulmonary vein of the right lower lobe. These findings are
consistent with a pulmonary arteriovenous malformation.
Pulmonary angiography. Maximum intensity projection of a T1-weighted MRI acquired after the
intravenous administration of contrast material shows a normal-appearing pulmonary arterial
tree. The resolution is limited to the third- and fourth-order branches.

Pulmonary angiography. Digital subtraction pulmonary angiogram of the right lung shows that all
other branches are truncated and pruning, without normal peripheral branching. The pulmonary
arterial pressure was elevated in the patient. These findings can be found with chronic
pulmonary embolism with resultant pulmonary arterial hypertension. The normal appearance of
the branches to the right upper lobe suggests sparing of the vessels of recurrent embolic
disease, most likely due to gravity.
Ascending aortogram showing ascending aortic aneurysm. The patient also underwent
computed tomography scanning.

Premature ventricular contractions

Bradycardia

Figure 1 - Right coronary artery immediately after left coronary angiography. A massive air
embolism interrupted the blood flow in the mid-portion of the right coronary artery.
Figure 2 - Right coronary angiogram immediately after left coronary angiography. Small shadow
defects were considered to be air bubbles present in the distal portion of the right coronary
artery and later the bubbles dispersed distally.

PDA
Aortic stenosis

Aortic positional abnormality

Coronary stenosis

Giant aneurysm
Giant Aneurysm

Traumatic aneurysm
Pseudoaneurysm

Cobra catheter for indirect approach via femoral artery

Splenoportography

Grollman catheter for pulmonary angiography

Transseptal catheterization, brockenbrough catheter for thoracic aortography
Angina

Valvular regurgitation: mitral valve/bicuspid valve

Cardiomyopathy

Thoracic outlet syndrome

Raynauds disease

thoracic outlet syndrome angiogram

Arterial thrombosis

Femoral thrombosis
AV malformations
EXAM
...
...
Fig. 2.57 A-D. Angiography is an excellent way to demonstrate the success (or failure) of portocaval
shunting. This can be recognized with color Doppler ultrasonography, but angiography sometimes gives
better anatomical visualization. A The preoperative splenoportogram shows extensive collateral
circulation involving the coronary, short gastric, and esophageal plexi (upper arrows) and at the
mesenteric vein (arrowhead): there is splenomegaly, but the liver is small. B Follwing a portocaval shunt
there is no collateral circulation, but the contrast medium flows immediately into the inferior vena cava
(arrow). C A normal splenorenal shunt. The catheter is in the inferior vena cava and into the left renal vein
through the shunt. The anastomosis is widely patent. Contrast medium has run into the portal vein and
the inferior vena cava. D This patient had developed severe hepatic encephalopathy; the shunt is widely
patent but there is thrombosis of the portal vein (arrow).
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