PMC6537290_01
Small blush identified in the arterial phase in terminal branches of the
superior mesenteric artery (red circle).
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fig1-1179547619842581
Under general anesthesia, the techniques used were access to the right common femoral artery with 5 French introducer, superior mesenteric arteriography with Cobra 2 (Cordis) catheter, and indirect portography; initially, a small blush was identified in the arterial phase in terminal branches of the superior mesenteric artery (Figure 1).
(A) First site of intestinal angiodysplasia, (B) second site of intestinal
angiodysplasia, and (C) early venous return due to arteriovenous
fistula.
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fig2-1179547619842581
After a coaxial microcatheterization with Renegade STC microcatheter (Boston Scientific, Boston, MA, USA), a new superselective arteriography identified 2 sites of a vessel encasing ectasias with arterial blush and early venous return, characterizing angiodysplasia in the terminal ileum and cecum (Figure 2A to C).
(A) Control of selective embolization with interlock-18 of the first
angiodysplasia and (B) control of selective embolization with interlock-18
of the second angiodysplasia.
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A selective embolization with interlock-18 micromoles 2 mm x 2.3 cm in the 2 sites of angiodysplasia is performed (Figure 3A and B).
Control arteriography did not identify the arterial blush and the
fistula.
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fig4-1179547619842581
Control arteriography did not identify the arterial blush and the fistula, and patient was referred to the intensive care unit for acute ischemic abdomen surveillance (Figure 4).