05-24-95
KO, KANG WEI
2492702
0351 ARTERIOGR SEL 844288
05-24-95 HOFFMAN, LLOYD MD HO029
RADIOLOGY REPORT
ICD code: 228.01
ACR code: 928.149, 938.124
Radiologists: Dr. Trost, Dr. Napp.
LEFT LOWER EXTREMITY ARTERIOGRAM AND LEFT LOWER EXTREMITY VENOGRAM - 5/24/95.
Clinical history: 19 year old Asian male with left lower thigh and upper leg medial soft tissue hemangiomas which are painful and crusting. For arteriogram and possible embolization.
Procedure:
The right groin was prepped and draped in standard sterile fashion. Local anesthesia was obtained with Lidocaine. Using standard aseptic technique, the right common femoral artery was cannulated. Using Seldinger technique, a catheter was advanced over a wire and selectively placed in the left common liliac artery. Standard left lower extremity arteriogram was performed.
Then, a 20 gauge angiocath was placed in the left foot. Under fluoroscopic guidance, contrast was injected and multiple venogram images obtained.
Findings:
Left lower extremity arteriogram demonstrates normal anatomy and appearance of the common femoral artery, superficial femoral artery, profunda femoris artery, politeal artery, and politeal trifucation. The known medical soft tissue hemangiomas were not identified as vascular structures on the arteriogram. Specifically, no major arterial feeders could be identified. Therefore, embolization could not be performed.
Left lower extremity venogram demonstrates no evidence of venous thrombus. Venogram is unremarkable with the exception of a partially duplicated superficial femoral vein. No venous connection to the known soft tissue hemangiomas was identified.
Unremarkable left lower extremity arteriogram and venogram. The known soft tissue hemangiomas demonstrated no major arterial or venous connections.
TRACY NAPP, M.D.
dd 05-31-95
dd 06-02-95
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