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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 4/2008

01-07-2008 | Case Report

Microballoon Occlusion Test to Predict Colonic Ischemia After Transcatheter Embolization of a Ruptured Aneurysm of the Middle Colic Artery

Authors: 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

Published in: CardioVascular and Interventional Radiology | Issue 4/2008

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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.
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Metadata
Title
Microballoon Occlusion Test to Predict Colonic Ischemia After Transcatheter Embolization of a Ruptured Aneurysm of the Middle Colic Artery
Authors
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
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 4/2008
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9330-8

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