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Percutaneous protective coil occlusion of the proximal inferior mesenteric artery before N-butyl cyanoacrylate embolization of type II endoleaks after endovascular repair of abdominal aortic aneurysms.

Abstract
Bowel ischemia can complicate treatment of type II endoleak with liquid or semiliquid agents such as n-butyl cyanoacrylate (NBCA) if nontarget embolization of the inferior mesenteric artery (IMA) occurs. The current report describes four cases of type II endoleak in which the IMA was the main outflow vessel and was prophylactically occluded with embolization coils before NBCA injection into the endoleak nidus. The purpose was to prevent unintentional embolization of the NBCA into IMA branches. If feasible, protective IMA coil occlusion should be considered in type II endoleaks with IMA outflow in cases of NBCA embolization.
AuthorsChristine P Chao, Ricardo Paz-Fumagalli, Eric M Walser, J Mark McKinney, Andrew H Stockland, Jürgen Falkensammer, Albert G Hakaim, W Andrew Oldenburg
JournalJournal of vascular and interventional radiology : JVIR (J Vasc Interv Radiol) Vol. 17 Issue 11 Pt 1 Pg. 1827-33 (Nov 2006) ISSN: 1051-0443 [Print] United States
PMID17142714 (Publication Type: Journal Article)
Chemical References
  • Tissue Adhesives
  • Bucrylate
Topics
  • Aged
  • Aged, 80 and over
  • Angiography
  • Aortic Aneurysm, Abdominal (diagnostic imaging, surgery)
  • Bucrylate (therapeutic use)
  • Embolization, Therapeutic
  • Female
  • Humans
  • Male
  • Mesenteric Artery, Inferior (surgery)
  • Middle Aged
  • Retrospective Studies
  • Tissue Adhesives
  • Tomography, X-Ray Computed

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