Embolisation of IPDA pseudoaneurysm with Glubran 

This patient had undiagnosed median arcuate ligament compression (MALS) of his coeliac axis leading to high flow and pressure in the SMA collaterals. He presented with a bleed from a ruptured aneurysm or pseudoaneurysm of the Inferior pancreatico duodenal artery. I embolised this with Glubran and lipiodol in a ration of 1:6 with good angiographic result.
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Dr Phil Haslam
Consultant Interventional Radiologist