Interventional Radiology of Assiut University Hospital

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Left peri auricular facial AVM
ECA angiogram revealed an AVM supplied by branches of the left posterior auricular and superficial temporal arteries.
Super selective catheterization of the pedicles supplying the nidus was done using marathon microcatheter followed by injection of glue in two sessions.
Complete embolization of the nidus was achieved.
Warning!!!! Watch out for extracranial-intracranial anastomosis at this site.

A 35 year old male presenting with post-traumatic neglected pulsating swelling in the ankle.
Diagnostic angiography revealed arteriovenous fistula involving the posterior tibial artery.
Closure of the fistula was done by histoacryl glue however another branch from the PTA was also involved in the fistula and was successfully sealed by histoacryl.
Performed By Prof. Dr. Mostafa Hashem

▪A 42 y/o patient with a large parasagittal meningioma.
▪Selective external carotid artery (ECA) angiogram revealed hypervascular parasagittal tumor supplied by meningeal branches of the right ECA.
▪Superselective catheterization of the feeding artery was done using microcatheter followed by embolization using PVA particles.
▪Control angiogram revealed devascularization of the tumor.
▪No supply from the Lt ECA.

Post operative left vertebral AV fistula causing diminished flow through the left vertebral artery and retrograde filling from the right side. Patient complained from unbearable noise behind her left ear.
Endovascular treatment was done by super selective catheterizatio of the fistula followed by injection of glue.
Control angiogram revealed complete occlusion of the fistula with patent both vertebral arteries and no further filling of the vein from either sides. Complete resolution of the patient's symptoms after the procedure.
ناسور شرياني وريدي بالرقبة ناتج عن عمليه جراحيه بالفقرات العنقيه
تم غلق الناسور بدقه باستخدام القسطره الشريانيه تحت الاشعه التداخليه

A case of post-traumatic left carotid cavernous fistula diagnostic angiography revealed that it is a combined type (direct and dural).
Treatment was done by two techniques to close both arteries supplying the fistula. First a detachable balloon was used to occlude the ICA at the site of fistula followed by embolization of the external carotid branch supplying the fistula using glue. Performed by Prof. Dr. Mostafa Hashem Othman

Post traumatic Hematuria in a younge male caused by right renal AV fistula with formation of giant pseudo aneurysm and rapid IVC filling that carries the risk of pulmonary embolism .. closure of the proximal connection of the aneurysm at its arterial connection was done by prof .Dr. Mostafa Hashem Othman using histoacryle with subsequent thrombosis of the Aneurysmal sac after cessation of the high arterial flow . Hematuria stopped few hours later after clearance of the residual old blood in the urinary tract .. no complications at all.

Happy New Year 🎉

Right lobe exophytic HCC supplied by parasitic branches from the inferior suprarenal artery. Super selective catheterization of the feeding artery followed was done by chemoembolization.
مريض يعانى من ورم خبيث فى الكبد نتيجة فيروس سي. وجدنا ان الورم يغذيه الشريان الكظري السفلي فتم الوصول اليه عن طريق القسطرة وحقن العلاج الكيماوي مع صم الشرايين داخل الورم.

PCOM Aneurysm coiling by our interventional neuro radiology team lead by prof.Dr. Mostafa Hashem Othman.
مريض يعاني من تمدد في أحد الشرايين الدماغية مما يعرضه لنزيف دماغي في أي لحظة فأنقذه فريق الأشعة التداخلية عن طريق غلق التمدد الشرياني

A case of left facial AVM supplied by branches of left internal maxillary artery which caused pain and disfigurement.
Treatment was done by combined transarterial approach and direct injection of glue (a mixture of hystoacryl and lipiodol 1 :2 concentetation) performed by Prof. Dr. Mostafa Hashem and Dr. Noha M. Attia
مريضه تعاني من وجود ناسور شرياني وريدي بالناحية اليسري من الوجه تتغذي عن طريق الشريان السباتي الخارجي الأيسر وسبب ذلك ألم وتشوه للوجه.تم غلق الناسور عن طريق الاشعه التداخلية باستخدام مواد صمغيه مجلطه