fig3

Figure 3. Digital subtraction angiography (A) and fluoroscopy (B) demonstrated placement of the Amplatzer II Vascular Plug so that 2/3 of the plug remained intraluminally (black arrow) in the aortic stump while 1/3 remained in the periaortic space (white arrow). Microcoils were deployed distal to the intraluminal plug to further assist in stump thrombosis (black arrowhead). The close association between the aortic stump and the duodenum is demonstrated by the endoclip placed at the time of double-balloon endoscopy (white arrowhead)