Microballoon occlusion test to predict colonic ischemia after transcatheter embolization of a ruptured aneurysm of the middle colic artery

Tsuyoshi Tajima, Kengo Yoshimitsu, Hiroyuki Inokuchi, Hiroyuki Irie, Akihiro Nishie, Masakazu Hirakawa, Kousei Ishigami, Yasuhiro Ushijima, Daisuke Okamoto, Hiroshi Honda, Hiroyuki Itoh, Masaru Morita, Yoshihiro Kakeji

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 76-year-old woman presented with sudden massive melena, and superior mesenteric arteriography showed an aneurysm in the middle colic artery (MCA). Because she had a history of right hemicolectomy and ligation of the inferior mesenteric artery (IMA) during open abdominal aortic aneurysm repair, embolization of the MCA aneurysm was considered to pose a risk comparable to that of colonic ischemia. A microballoon occlusion test during occlusion of the MCA confirmed retrograde visualization of the IMA branches through the collateral arteries by way of the left internal iliac artery, and embolization was successfully performed using microcoils. No colonic ischemia or aneurysm rupture occurred after embolization.

Original languageEnglish
Pages (from-to)828-832
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume31
Issue number4
DOIs
Publication statusPublished - Jul 2008

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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