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      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.

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          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, colonic necrosis developed in the patient, manifested by peritonitis, which necessitated a partial colectomy. This case underscores the devastating complication of colonic ischemia as a result of catheter-directed embolization of the inferior mesenteric artery in the management of an endoleak.

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          Author and article information

          Journal
          J. Vasc. Surg.
          Journal of vascular surgery
          Elsevier BV
          0741-5214
          0741-5214
          Dec 2001
          : 34
          : 6
          Affiliations
          [1 ] Joseph B. Whitehead Department of Surgery, Division of Vascular Surgery, Emory University School of Medicine, Emory University Hospital, Atlanta, GA, USA.
          Article
          S0741-5214(01)95948-8
          10.1067/mva.2001.118824
          11743570

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