Colonic necrosis subsequent to catheter-directed thrombin embolization of the inferior mesenteric artery via the superior mesenteric artery: A complication.

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Presentation transcript:

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 Ruth L. Bush, MD, Peter H. Lin, MD, Russell S. Ronson, MD, Brian S. Conklin, BS, Louis G. Martin, MD, Alan B. Lumsden, MD Journal of Vascular Surgery Volume 34, Issue 6, Pages 1119-1122 (December 2001) DOI: 10.1067/mva.2001.118824 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Abdominal CT scan demonstrating an endoleak (arrow ) after the stent-graft placement. Journal of Vascular Surgery 2001 34, 1119-1122DOI: (10.1067/mva.2001.118824) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A microcatheter was used to cannulate the SMA, traverse the IMA via the middle colic artery, and finally reach the aneurysm sac for thrombin and Gelfoam embolization. Journal of Vascular Surgery 2001 34, 1119-1122DOI: (10.1067/mva.2001.118824) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 After embolization of the aneurysm sac and the IMA orifice, the completion angiogram demonstrates radio-opaque lipiodol mixture in the aneurysm sac with occluded sigmoidal artery branches (arrows ). Journal of Vascular Surgery 2001 34, 1119-1122DOI: (10.1067/mva.2001.118824) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions