{"paper_id":"568c1db0-5da7-480d-bbfc-fcaa7fe5618c","body_text":"Abstracts\nThe Arab Journal of Interventional Radiology | Volume 3 | PAIRS Abstracts | February 2019 S27\nomental, cystic, adrenal, intercostal, internal mammary, renal, \nsuperior mesenteric and gastroduodenal arteries. Suspect ECS \nin large subcapsular tumors with exophytic growth, adjacent \norgan invasion, hypertrophied extrahepatic collaterals and \nmarginal recurrence abutting the liver capsule after TACE or \nlocal ablation. During TACE, no or incomplete tumor blush on \nselective hepatic arterial run, or defect in lipiodol deposition in \nthe mass suggest ECS. Search for ECS is mandatory if follow \nup imaging shows peripheral defect in lipiodol deposition or \nenhancing residual component of primary mass. An alternative \ntreatment should be undertaken if TACE through ECS fails. \nConclusion(s):  ECS is common in HCC at initial presentation \nand increases with repeated TACE sessions. For achieving \ncomplete tumor response, active search for signs of ECS should \nbe done before, during and after TACE.\nP411\nCrush Stent Technique: A New Approach for \nOccluded Iliac Stent\nBen Mrad Melek, Ben Hammamia Mohamed 1, \nMiri Rim1, Gdira Faker 1, Denguir Raouef 1\nDepartement of Cardiovascular, La Rabta Hospital of Tunis, 1Faculty of \nMedecine, University of Tunis El Manar, Tunis, Tunisia.  \nE-mail: benmradmelek@yahoo.fr\nBackground:  Iliac stent thrombosis is problematic. Surgery \nis often indicated because endovascular recanalization of the \noccluded stent is difficult. Some interventional cardiologists \ndescribed a new technique to manage occlusion of coronary \nstent, the “Crush stent technique” consist on subintimal \nrecanalization and swatting of the “old stent”. The aim of \nthis report was to demonstrate the feasibility and safety of \nthis technique also for iliac artery. Method(s): A 55 years old \nwoman was admitted in our department for a critical lower \nlimb ischemia due to thrombosis of left common iliac stent \nimplanted 2 years earlier for claudication. The ankle-brachial \nindex was 0.5. Our initial strategy was to cross intraluminally \nthe occlusion and to use a drug-eluting balloon. However, \nwe failed to achieve an intraluminally stent recanalization, \nso we performed a subintimal recanalization of the occluded \nstent. The wire crossed the occlusion completely outside stent \nthrough the subintimal space. Firstly, we performed a balloon \nangioplasty, a 7 mm balloon was inflated at eight ATM \npressure and contributed in crushing of the thrombosed stent. \nTherefore, we deployed an 8 x 80 mm Wall-Stent (Boston \nScientific), covering all the common and external iliac artery. \nResult(s):  Final angiography was satisfactory showing a \npatent iliac conduit with a total flattering of the old stent. \nPost operative course was favorable with symptomatic \nrelieve, the left ankle-brachial index was improved to 0.85 \nand duplex ultrasound showed patency of the wall stent at \n1 and 6 months. There was no hemodynamic disturbance \nparticularly at the site of the subintimal crush. Conclusion(s):  \nCrush stent technique is not only feasible for coronary \nstent thrombosis but can also be performed for peripheral \narterial stent thrombosis especially when intraluminally stent \nrecanalization cannot be achieved. In our knowledge, it is the \nfirst report in the literature of a “crushed stent” technique for \na thrombosed iliac stent.\nP412\nUterine Artery Embolization for the \nSymptomatic Adenomyosis: Short-Term Follow \nup using Uterine Fibroid Symptom Quality of \nLife Questionnaire\nIbrahim Alrashidi, Faisal Alahmari 1,  \nHayat Matouk Alharthy1,  \nAbdulaziz Almat’hami1,  \nAbdulwaheed Alruhaimi1,  \nAbdulrahman Alkhalifa1, Fares Garad 1\nPrince Sultan Military Hospital, 1Ministry of Health, King Fahad General \nHospital, Riyadh, Saudi Arabia.  \nE-mail: dr.ialrashidi@gmail.com\nBackground: The purpose of this study was to assess clinical \noutcomes 3 months after uterine artery embolization (UAE) in \nthe treatment of symptomatic adenomyosis. Method(s): in this \nprospective cohort study, at Prince Sultan Military Medical City \nrecruited patients with symptomatic adenomyosis for UAE. The 3 \nmonths’ post-intervention outcomes were health-related quality of \nlife (HRQOL), symptom severity scores (SSS). Result(s): Eighteen \npatients with adenomyosis have more than 12 mm thickening of \nthe junctional zone based on MRI imaging (11 with Fibroids are \nexcluded) were treated with UAE between January 2012- April \n2018. The 3 months’ questionnaire was interviewed in 7 patients. \nThe median age of 47 (28-55). The main clinical presentation was \nabnormal uterine bleeding and Dysmenorrhea. The median duration \nof symptom is 24 (12-84) months. A 71.4 % of patients received \nhormonal therapy prior to intervention. The median hemoglobin \npre and post-intervention 11.5 and 12.6 respectively. A 28.6 % of \npatients received blood transfusion pre-UAE. No patient underwent \na secondary hysterectomy during the follow-up period. The HRQOL \nand SSS scores as measured by UFS-QOL at 3 months after UAE \nshowed The score for distress level has been significantly reduced \n(Z value= -2.366, p value=0.018) from baseline 4.6 (3.6-5) to after \n3 months 2.25 (1-3.37). As well as, the score of symptoms level has \nbeen significantly reduced Z value= -2.366, p value=0.018) from \nbaseline 4 (3.6-5) to after 3 months 1.6 (1-3.58). Conclusion(s): \nAfter 3 months of follow-up, UAE improved the distress and \nsymptom of the selected patients with adenomyosis, however larger \nnumber of patients and longer duration of follow-up is recommended \nto support the UAE for the management symptomatic adenomyosis.\nP413\nBalloon Occlusion of Internal Iliac Arteries in \nManagement of Morbidly Adherent Placenta: \nInitial Experience at Our Centre\nUmmara Siddique, Aman Nawaz Khan, \nShahjehan Alam, Syed Ghulam Ghaus, \nSeema Gul\nRehman Medical Institute, Peshawar, Pakistan.  \nE-mail: ummara_81@hotmail.com\nBackground: Abnormal placentation is a potential cause of \nmaternal morbidity and mortality from massive postpartum \nbleeding. Interventional radiology has impressive role in \nArticle published online: 2021-05-11","source_license":"CC0","license_restricted":false}