“Beyond saving lives”: Current perspectives of interventional radiology in trauma

Figure 5 Re-bleed after perihepatic packing. A 38-year-old male with BTA, hemodynamically unstable and taken directly to OR for perihepatic packing. DSA was contemplated in view of persistent hypotension after perihepatic packing. A and B: Selective right hepatic angiogram showed PsA arising from its posterior division (arrow). Subsequently, guidewire followed by micro catheter manipulation was done across its neck; C: Microcoil was deployed across the neck of PsA from distal to proximal followed by gelfoam embolization; D: Post embolization angiographic run showed faint opacification of posterior branch due to sluggish flow. Note brilliant opacification of anterior branch of RHA (arrow) due to reflux of contrast. OR: Operating room; RHA: Right hepatic artery; BTA: Blunt trauma abdomen; DSA: Digital subtraction angiography.