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Transcatheter Arterial Embolization Using Cone-beam Computed Tomography during Angiography and Automated Vessel Detection Software for Obscure Colonic Diverticular Hemorrhage after Unsuccessful Endoscopic Clipping: A Report of Two Cases.
Kamei, Seiji; Yamamoto, Takahiro; Okada, Hiroaki; Kinbara, Yuki; Takahata, Kyohei; Horikawa, Yoshimi; Yamada, Kuniya; Kitajima, Yukiya; Hattori, Tesuya; Suzuki, Kojiro.
Afiliación
  • Kamei S; Department of Radiology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Yamamoto T; Department of Radiology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Okada H; Department of Radiology, Aichi Medical University, Japan.
  • Kinbara Y; Department of Emergency/Intensive Care, Nagoya Medical Center, Japan.
  • Takahata K; Department of Radiology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Horikawa Y; Department of Radiology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Yamada K; Department of Gastroenterology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Kitajima Y; Department of Radiological Technology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Hattori T; Department of Radiological Technology, Aichi Prefectural Welfare Federation of Agricultural Cooperatives Kainan Hospital, Japan.
  • Suzuki K; Department of Radiology, Aichi Medical University, Japan.
Interv Radiol (Higashimatsuyama) ; 6(1): 4-8, 2021 Feb 28.
Article en En | MEDLINE | ID: mdl-35910525
We report the usefulness of cone-beam computed tomography angiography (CBCTA) and automated vessel detection (AVD) software in transcatheter arterial embolization in two cases of obscure ascending colonic diverticular hemorrhage after unsuccessful endoscopic clipping. Arteriography of the superior mesenteric artery demonstrated no active bleeding. Considering the positional relationship of the clips, we could narrow the responsible vessel down to two candidates but could not definitively identify the responsible vessel. We performed CBCTA at the marginal artery of the right colic artery, and the responsible branch was identified using AVD. The responsible vessel could be embolized, and hemostasis was achieved with no ischemic complications. CBCTA and AVD software for colonic diverticular hemorrhage after endoscopic clipping were useful for identifying the responsible vessel and in performing selective embolization.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Interv Radiol (Higashimatsuyama) Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Interv Radiol (Higashimatsuyama) Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón