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. 2020 Oct 14;12(10):2977. doi: 10.3390/cancers12102977

Figure 2.

Figure 2

Gastric embolization. (A) Initial selective digital subtraction angiography (DSA) of the celiac trunk, posterior-anterior incidence. The main branches of the porcine celiac trunk are the following: left gastric artery (1), common hepatic artery (2), splenic artery (3). The common hepatic artery further divides into the gastroduodenal artery (5) and proper hepatic arteries. Gastric arterial supply consists of two anastomotic arcades: one on the lesser curvature between the left gastric artery (LGA) (1) and the right gastric artery (RGA) (7), the second on the greater curvature between the left gastroepiploic artery (LGEA) (4) and the right gastroepiploic artery (6). (B) Super-selective angiography through a microcatheter placed in the LGEA, depicting its vascular territory at the fundus. The artery was then occluded with coils (C). (D) Super-selective angiography through a microcatheter placed in the LGA, depicting its vascular territory on the lesser curvature and part of the fundus. The artery was then embolized using 300–500 µm particles. (E) Super-selective angiography through a microcatheter placed in the RGA, depicting its vascular territory on the lesser curvature and gastroesophageal junction. The artery was then embolized using 300–500 µm particles. (F) Selective DSA of the celiac trunk at 21 days post-embolization, showing persistent occlusion of embolized vessels. Picture taken at a factor 31 of magnification.