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, Peter H. Lin, Russell S. Ronson, Brian S. Conklin, Louis G. Martin, Alan B. Lumsden

Research output: Contribution to journalArticle

42 Scopus citations

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, 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.

Original languageEnglish (US)
Pages (from-to)1119-1122
Number of pages4
JournalJournal of Vascular Surgery
Volume34
Issue number6
DOIs
StatePublished - Dec 2001

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of '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'. Together they form a unique fingerprint.

Cite this