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Colonic necrosis subsequent to catheter-directed thrombin embolization of the inferior mesenteric artery via the superior mesenteric artery: a complication in the management of a type II endoleak.

Abstract：

:The optimal management of endoleaks after endovascular repair of abdominal aortic aneurysms remains to be established. In this report, we describe a persistent side-branch, or type II, endoleak 1 year after endograft implantation treated with catheter-directed embolization of the aneurysm sac and the inferior mesenteric artery via the superior mesenteric artery, with embolization agents including thrombin, lipiodol, and gelfoam powder. Shortly after the embolization procedure, colonic necrosis developed in the patient, manifested by peritonitis, which necessitated a partial colectomy. This case underscores the devastating complication of colonic ischemia as a result of catheter-directed embolization of the inferior mesenteric artery in the management of an endoleak.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Bush RL,Lin PH,Ronson RS,Conklin BS,Martin LG,Lumsden AB

doi

10.1067/mva.2001.118824

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

1119-22

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(01)95948-8

journal_volume

34

pub_type

杂志文章

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