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Showing posts with the label Angiography

Celiacomesenteric Trunk: Importance of Recognizing a Rare Vascular Variant for Accurate CT Diagnosis

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  Introduction: When One Artery Changes Everything A 62-year-old patient arrives in the emergency department with vague abdominal pain. A contrast-enhanced CT scan is performed. At first glance, the findings appear unremarkable—until a subtle but critical vascular anomaly is detected. A single arterial trunk supplies both the foregut and midgut. This is the celiacomesenteric trunk (CMT) —a rare but clinically significant vascular variant that can alter surgical planning, complicate radiology interpretation , and even influence outcomes in emergency diagnosis . In the era of high-resolution medical imaging , especially CT scan diagnosis , recognizing such vascular anomalies is no longer optional—it is essential. What Is the Celiacomesenteric Trunk? The celiacomesenteric trunk (CMT) is a rare anatomical variation in which the celiac trunk and the superior mesenteric artery (SMA) arise from a common origin from the abdominal aorta. Normal Anatomy vs Variant Structure   ...

Binocular Visual Loss Caused by Acute Cardioembolic Stroke(3)

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  Binocular visual loss, acute visual loss, cardioembolic stroke, cerebral angiography, DSA, selective intraarterial thrombolysis, visual pathway infarction, posterior circulation stroke, occipital lobe infarction, cortical blindness, visual pathway ischemia, neuro-ophthalmology, emergency stroke imaging, interventional neuroradiology   PART 3 — DIAGNOSTIC ALGORITHMS & DIFFERENTIAL DIAGNOSIS MASTER FRAMEWORK Binocular Visual Loss Caused by Acute Cardioembolic Stroke SECTION 17 — COMPREHENSIVE DIAGNOSTIC FRAMEWORK Acute binocular visual loss represents a  time-critical neurological emergency . Rapid differentiation between vascular, inflammatory, epileptic, metabolic, and functional etiologies is essential to prevent irreversible neuronal injury. A structured, algorithmic diagnostic approach significantly improves: Diagnostic accuracy Therapeutic timing Visual prognosis Overall neurological outcome 17.1 Emergency Diagnostic Objectives The primary objectives during emer...

Radial Artery Thrombosis: Pathophysiology, Diagnosis, and Management of a Rare but Critical Vascular Complication

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Abstract Radial artery thrombosis (RAT) is a rare but potentially devastating vascular event that can lead to digital ischemia, tissue necrosis, and loss of hand function. Although the condition is most frequently associated with iatrogenic injury during arterial cannulation or catheterization, it can also occur following illicit drug injection , trauma, or systemic hypercoagulable states. This article presents an in-depth review of the pathophysiology, epidemiology, imaging features, differential diagnosis, management strategies, and prognosis of radial artery thrombosis, supplemented by a clinical case of a 54-year-old man with cocaine-induced RAT , illustrated by diagnostic angiographic images. The review integrates the latest global literature and evidence-based management guidelines to provide comprehensive insights for clinicians and medical trainees preparing for licensing examinations. Case Presentation A 54-year-old male with a history of intravenous drug use , chronic ...