The right CFA was punctured using the Seldinger technique, after administering local anesthesia under sterile conditions. The celiac trunk-splenic artery was catheterized with a catheter on a guidewire. Angiography revealed several foci of bleeding in the spleen. The splenic artery was embolized at its middle third by 6 mm and 8mm coils with a satisfactory angiographic result.
Next, the left renal artery was catheterized. Many parenchymal filling defects were demonstrated, more prominent in the inferior part of the kidney. During one of the injections, extravasation from the inferior pole was demonstrated, in agreement with the CT angiogram. Selective catheterization of the bleeding branch was performed and embolization with a Tornado® 2/3 embolization coil. Satisfactory angiographic result.
Hemodynamic improvement at the end of the procedure.
Hemostasis was carried out with ExoSeal® and manual pressure.