TY - JOUR
T1 - Colonic necrosis subsequent to catheter-directed thrombin embolization of the inferior mesenteric artery via the superior mesenteric artery
T2 - A complication in the management of a type II endoleak
AU - Bush, Ruth L.
AU - Lin, Peter H.
AU - Ronson, Russell S.
AU - Conklin, Brian S.
AU - Martin, Louis G.
AU - Lumsden, Alan B.
PY - 2001/12
Y1 - 2001/12
N2 - 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, colonie necrosis developed in the patient, manifested by peritonitis, which necessitated a partial colectomy. This case underscores the devastating complication of colonie ischemia as a result of catheter-directed embolization of the inferior mesenteric artery in the management of an endoleak.
AB - 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, colonie necrosis developed in the patient, manifested by peritonitis, which necessitated a partial colectomy. This case underscores the devastating complication of colonie ischemia as a result of catheter-directed embolization of the inferior mesenteric artery in the management of an endoleak.
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U2 - 10.1067/mva.2001.118824
DO - 10.1067/mva.2001.118824
M3 - Article
C2 - 11743570
AN - SCOPUS:0035656118
VL - 34
SP - 1119
EP - 1122
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
SN - 0741-5214
IS - 6
ER -