Selective injection of the CT via a femoral access (Courtesy Pr JF Viallet)

68-year-old male, violent right hypochondrium pain: CT. (a) Subcapsular hematoma of the liver, heterogeneous segment V mass spontaneously hyperdense: these data and a clinical hypovolemic collapsus led to perform in emergency an angio. (b) Proper hepatic A selective injection: the liver is far from the abdominal wall; old costal fracture callus; heterogen hepatography. (c) Hyperselective segment VIII branch (arterial branch injection): massive extravasation, consequence of a hemorrhagic tumoral rupture; embolization using microparticles completed with Gelfoam. (d) Clinical aftereffects were simple; CT control 1 m later: residual hyperdensity inside a hypodense tumor. (e) Same CT: not any other tumor focus

Carcinoid secreting liver metastasis (primitive tumor unknown). Severe flushes led to decide an embolization to treat these symptoms. (a) Multiple hypervascular metastases. (b) Selective hepatic A injection. (c) CT scan after arterial tumoral-feeding microparticles embolization

21 years old, malignant pancreatic insulinoma surgically treated, multiple liver metastases. A complementary embolization has been decided to try to normalize the glycemia. (a) Multiple liver hypervascular metastases, among which some are heterogeneous. (b) CT angio: origin of the left hepatic A from the CT. (c) Selective catheterization of the right hepatic A, arterial and late phases: heterogeneous hepatography. Lateral and medial right liver sector particles embolization. (d) CT 5 weeks later: relative devascularization of the right masses; persistent segment IV hypervascularization and enhanced left liver metastasis. (e) Recurrence of hypoglycemias led to a re-embolization. Semi-selective injection of the CT: relative devascularization of the right liver, patent segment IV, and left hepatic A