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The SOS catheter was advanced to the common iliac artery and another attempt was made utilizing the road map technique to select the left internal iliac artery for the purpose of embolization planning.
Caption: Figure 2: Attempted left internal iliac artery selective arteriogram with a 5 F SOS catheter shows the catheter tip in the left ureter and brisk flow of contrast into the left ureter (solid blue arrow) flowing caudad into the urinary bladder (solid red arrow).
The left nitinol endoprosthesis was deployed first into the left internal iliac artery and extended about 2 cm into the aorta.
On the left side, the left internal iliac artery (LIIA) was supplied by the left lumbar collateral artery.
Pelvic angiography revealed transection of the left internal iliac artery with ongoing extravasation of contrast from the right internal iliac artery.
It was given off at a distance of 8mm, from the point of bifurcation (into anterior and posterior division) of the left internal iliac artery. It gave one muscular branch at a distance of 44 mm, from its origin and a small branch tothe head of the femur.