Figure 10.

Self-inflicted vascular injury in a 15-year-old male playing with a knife. (A) Digital subtraction angiogram shows a pseudoaneurysm of the anterior tibial artery with an arteriovenous fistula. (B) Digital subtraction angiogram shows multiple coils placed distal to the lesion using the sandwich technique. (C) Digital subtraction angiogram after embolization shows exclusion of the lesion; the anterior tibial is embolized. (D) Delay digital subtraction angiogram show retrograde filling of the anterior tibial artery up to the site of the distal coils.