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CardioVascular and Interventional Radiology

, Volume 31, Issue 4, pp 828–832 | Cite as

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
Case Report

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.

Keywords

Complication Mesenteric arteries Therapeutic blockade Visceral aneurysm 

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Tsuyoshi Tajima
    • 1
  • Kengo Yoshimitsu
    • 1
  • Hiroyuki Inokuchi
    • 2
  • Hiroyuki Irie
    • 1
  • Akihiro Nishie
    • 1
  • Masakazu Hirakawa
    • 1
  • Kousei Ishigami
    • 1
  • Yasuhiro Ushijima
    • 1
  • Daisuke Okamoto
    • 1
  • Hiroshi Honda
    • 1
  • Hiroyuki Itoh
    • 2
  • Masaru Morita
    • 2
  • Yoshihiro Kakeji
    • 2
  1. 1.Department of Clinical Radiology, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  2. 2.Department of Surgery and Science, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan

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