20170414 TACE BEAD and SAH A com aneurysm

• HCC for TACE
• 79 y/o male with multiple hepatoma
• DC bead( 70-150um 1 vial/300-500um 1 vial) plus (50mg Epirubicin in 2ml distilled water for 1 vial, total 100 mg Epirubicin
• J curve and microcatheter

(1,2,3,4)

1. Celiac angiography

2. Pre TACE CT

3. Post TACE w/o contrast

4. Post TACE with contrast

• Diffuse SAH
• 50 y/o male
• Bilateral ICA and left VA angiography
• H1 catheter
• SPIN 都是3ml/18ml(delay 1秒，總共打六秒，如果放比較高就delay 0.5秒)，看到有疑似動脈瘤改用biplane做一組(ICA 5ml/8ml)，用SPIN 轉出好的角度做Bi-plane。 
• Due to wide neck and the aneurysm in trifurcation, coil embolization is not favored for this patient.
• 描述Aneurysm: location, size, morphology(lobulated), projection(anterior, superior), neck(wide), rupture?
• 解釋(家屬可能不知道Acom在哪裡): 眼球後方