PMC9910820_01
Five centimeters stab wound over the lateral superior aspect of the left thigh
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FIG1
The patient was brought by emergency medical services (EMS) 40 minutes after the event (Figure 1).
Axial CT angiogram. The image shows air in the muscle (small arrow) and active extravasation of contrast (large arrow).
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FIG2
He was taken expediently for computed tomography (CT) angiogram of the lower extremity which showed active bleeding from a posterior peripheral branch arising from the deep femoral artery in the posterolateral thigh (posterior branch of the profunda femoris) (Figures 2, 3).
Sagittal CT angiogram. The angiogram shows extravasation of contrast (arrow).
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FIG3
He was taken expediently for computed tomography (CT) angiogram of the lower extremity which showed active bleeding from a posterior peripheral branch arising from the deep femoral artery in the posterolateral thigh (posterior branch of the profunda femoris) (Figures 2, 3).
IR angiogram of the left profunda femoris. The angiogram shows active extravasation (arrow).. IR: Interventional Radiology
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FIG4
Next, a catheter and guidewire were introduced into the left common femoral artery (Figure 4) and an arteriogram was performed.
Initial IR injection into the profunda femoris. The arrow shows active extravasation (arrow).. IR: Interventional Radiology
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FIG5
A microcatheter and microwire were advanced into the two separate branches of profunda femoris and corresponding arteriograms were performed (Figures 5-8).
Initial coil placement
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FIG6
A microcatheter and microwire were advanced into the two separate branches of profunda femoris and corresponding arteriograms were performed (Figures 5-8).
Injection prior to the second coil
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FIG7
A microcatheter and microwire were advanced into the two separate branches of profunda femoris and corresponding arteriograms were performed (Figures 5-8).
Injection after placement of the second coil
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FIG8
A microcatheter and microwire were advanced into the two separate branches of profunda femoris and corresponding arteriograms were performed (Figures 5-8).