Right CFA puncture with US. 5-French sheath. Aortogram and selective splenic artery angiograms demonstrate multifocal pseudoaneurysms throughout the splenic parenchyma with early filling of the splenic vein suggesting AV fistulae. Dominant supply to the pancreatic artery via the GDA.
The microcatheter was positioned within the mid splenic artery and multiple coil embolisations performed. Haemostasis confirmed on completion angiograms. Completion aortogram demonstrates collateral perfusion to the residual splenic parenchyma.
Manual haemostasis at the puncture site.