Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular, and locally aggressive tumor that arises in the nasal cavity, extending into the nasopharynx and often in to the orbit. It may rarely present to the ophthalmologist with proptosis and optic neuropathy. Preoperative embolization of JNA is done before surgical resection. In this communication, the authors report a rare occurrence of ipsilateral central retinal artery occlusion (CRAO) following embolization with polyvinyl alcohol in a 13-year-old boy with right-sided JNA. Retrospective review of the angiograms pointed out to a suspicious communication between the external carotid artery and the ophthalmic vessels. Pre-embolization detailed study of the angiograms is necessary to avoid such devastating complications. Although rare, vision loss is a possible complication arising from embolization of nasopharyngeal and intracranial tumors, and all patients undergoing these procedures should be informed of the risk of visual loss because it has a lasting impact on the quality of life.

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KEY WORDSbasket snare, foreign body, intravascular, ultrasound Percutaneous retrieval of intravascular foreign body is a safe and effective procedure with the use of various imaging modalities. However, fluoroscopy is used extensively in most of the procedures, because the broken fragments which gets retained in intravascular compartments are radiopaque. In our case, the broken fragment, which was retained in the internal jugular vein, was radiolucent. Retrieval of a radiolucent foreign body under fluoroscopy is not only difficult but also can lead to serious sequelae during retrieval. We report such a case of real time ultrasound-guided retrieval of the foreign body in adjunct with fluoroscopy. ª

Pulmonary sequestration is a rare embryonic malformation of lung tissue with no identifiable bronchial communication receiving its blood supply from one or more anomalous systemic arteries or aorta. The authors present a case report of an adult woman who presented with untreatable hemoptysis. She was treated with anti-Koch's therapy for her nonresolving hemoptysis. She underwent preoperative vascular embolization and operative surgical resection. AbstractKeywords ► pulmonary sequestration ► vascular plug ► preoperative ► embolization Int J Recent Surg Med Sci 2018;4:76-80

Hemoptysis can be dened as the coughing of blood or blood tinged sputum derived from the bronchial airways or lung parenchyma as a result of bronchial or pulmonary hemorrhage. Massive hemoptysis is an emergent and life-threatening condition with a broad range of underlying causes. Various treatment options for hemoptysis include conservative medical management, bronchial artery embolization and denitive surgical resection. Surgical resection is not possible in those patients associated with poor pulmonary reserve. Alone conservative management also carries higher risk of mortality rate in these cases. Early management with bronchial artery embolization can signicantly reduce the mortality in these patients. Proper techniques, results, and possible complications of BAE should be taken in mind and the same applies for the characteristics of the various embolic agents used in the procedure. In cases of recurrences, the procedure can be repeated effectively.This study done to know efcacy and safety of bronchial artery embolization in controlling hemoptysis. Study was done in Department of Radiology Lokmanya Tilak Medical College and Lokmanya Tilak Municipal General Hospital Sion Mumbai India over a period of 3 years. With its low recurrence rates and low procedure related complications BAE remains one of the best palliative and minimally invasive procedure for management of patients with hemoptysis including those who are unt to undergo or unwilling for more invasive managements such as surgery