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High-Flow Vascular Malformation in the Sigmoid Mesentery Successfully Treated with a Combination of Transarterial and Transvenous Embolization

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Abstract

Mesenteric high-flow vascular malformation can cause various clinical symptoms and demand specific therapeutic interventions owing to its peculiar hemodynamics. We report a case of high-flow vascular malformation in the sigmoid mesentery which presented with ischemic colitis. The main trunk of the inferior mesenteric vein was occluded. After partially effective transarterial embolization, transvenous embolization was performed using a microballoon catheter advanced to the venous component of the lesion via the marginal vein. Complete occlusion of the lesion was achieved. Combination of transarterial and transvenous embolization may allow us to apply endovascular treatment to a wider variety of high-flow lesions in the area and possibly avoid the bowel resection.

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Acknowledgments

The authors are grateful to Jay Starkey, M.D., for the revision of the English text.

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Authors and Affiliations

  1. Department of Radiology, St. Luke’s International Hospital, 1-9, Akashi-cho, Chuo-ku, Tokyo, 104-8560, Japan

    Minobu Kamo, Kunihiro Yagihashi & Yasuyuki Kurihara

  2. Department of Gastroenterology, St. Luke’s International Hospital, 1-9, Akashi-cho, Chuo-ku, Tokyo, 104-8560, Japan

    Takeshi Okamoto, Kenji Nakamura & Yoshiyuki Fujita

Authors
  1. Minobu Kamo
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  2. Kunihiro Yagihashi
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  3. Takeshi Okamoto
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  4. Kenji Nakamura
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  5. Yoshiyuki Fujita
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  6. Yasuyuki Kurihara
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Correspondence to Minobu Kamo.

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All authors declare that they have no conflicts of interest.

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Informed consent was obtained from the patient included in this case report.

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Kamo, M., Yagihashi, K., Okamoto, T. et al. High-Flow Vascular Malformation in the Sigmoid Mesentery Successfully Treated with a Combination of Transarterial and Transvenous Embolization. Cardiovasc Intervent Radiol 39, 1774–1778 (2016). https://doi.org/10.1007/s00270-016-1431-1

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  • DOI: https://doi.org/10.1007/s00270-016-1431-1

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