Case Gallery

Re-opening total left SFA obstruction Ken U. Ekechukwu, MD, MPH, FACP

  These images belong to a 48-year-old woman with insulin-requiring type 2 diabetes and long history of heavy cigarette smoking, who was referred to my interventional radiology clinic because of new pain in her left foot that substantially limited her life style, associated with color change. Her diabetes was uncontrolled and the pain seemed neuropathic […]

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Left subclavian-vertebral steal syndrome Ken U. Ekechukwu, MD, MPH, FACP

Key: LVA, left vertebral artery; LSCA, left subclavian artery; LCCA, left common carotid artery; LIMA, left internal mammary artery. The vertebral artery is the first branch of the subclavian artery and supplies the hindbrain, while the internal mammary artery is its second branch and courses behind the anterior chest wall to anastomose with the ipsilateral […]

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Re-opening a thrombosed left femoropopliteal bypass graft Ken U. Ekechukwu, MD, MPH, FACP

Top panel: Pre-intervention run-off angiogram of the left lower extremity showing, from left to right, irregular left common femoral artery (LCFA) arrowed on the 1st image, absent left superfical femoral artery (LSFA) or any bypass conduit on the 2nd image, sketchy descending collaterals from the left deep femoral (LDFA) that reconstitute a faint shadow of […]

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Who are interventional radiologists? ; Ken U. Ekechukwu, MD, MPH, FACP.

Who are interventional radiologists? First, let me explain who interventional  radiologists are not: they are not surgeons, radiation oncologists, cardiologists, oncologists, gastroenterologists, internists, and so on. They are physicians, who, like other physicians, went through the rigorous paths of qualification to bear the “MD” appelation. They then went through additional residency training that required 1 year of […]

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Retrieving a missing intrauterine contraceptive device (IUCD) with fluoroscopic guidance.| Ken U Ekechukwu, MD, MPH, FACP

Left image, top panel: Scout frontal radiograph of the pelvis showing the T-shaped contraceptive device before retrieval. Right image, top panel: The right arm of IUCD is snared and being pulled out Bottom image: The IUCD is pulled out and lies between the patient’s upper thighs. Intrauterine contraceptive devices (IUCDs) work best when positioned well in […]

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