EMERGENCY TRANSRADIAL EMBOLIZATION OF RECURRENT LIFE-THREATENING DUODENAL BLEEDING IN MALIGNANT OBSTRUCTIVE JAUNDICE

Ulcerative lesions  of the upper digestive tract often occur in malignant  obstructive jaundice  due  to  multiple  changes  in the coagulation  system. Emergency percutaneous  arterial embolization is an effective and safe procedure to treat acute massive duodenal bleeding; it is most commonly  performed via the standard transfemoral access, which can lead to complications  in this area.The paper describes  a clinical case of the double use of a unilateral radial access  for emergency  embolization  of life-threatening duodenal bleeding  in complications  of malignant obstructive jaundice

640-SLICE CT CORONARY ANGIOGRAPHY IN THE EARLY POSTOPERATIVE PERIOD AFTER CIRCUMFLEX ARTERY STENTING IN A PATIENT WITH ANOMALOUS ORIGIN OF THE RIGHT CORONARY ARTERY FROM THE LEFT SINUS OF VALSALVA

The paper describes a clinical observation showing the capabilities of three-dimensional dynamic 640-slice CT coronary angiography in the postoperative period after coronary artery stenting and in the presence of anomalous origin of coronary arteries from a single coronary sinus. Patient K. aged 76 years who had sought medical advice for his complaints of pressing retrosternal pain radiating to the inter-scapular region when walking 20–30 meters, as well as intermittent episodes of crushing pain at rest was examined. The patient underwent coronary angiography, circumflex artery stenting, and three-dimensional dynamic 640-slice CT-coronary angiography in the early postoperative period. Three-dimensional dynamic 640-slice CT coronary angiography after circumflex artery stenting could determine the status of the operated artery and stent and identify a variant of anomalous origin of the right coronary artery, which had not been previously diagnosed using two invasive coronary angiographies