DSA (angiography) - Mesenteric angiogram and coil embolization of the right colic branch artery
Procedure performed under local anaesthetic (1% lignocaine). Right common femoral artery puncture and retrograde 5-French sheath. The superior mesenteric artery was selected using a 5-French diagnostic Cobra (C2) catheter. Initial angiography confirmed bleeding in the proximal ascending colon. 10mg of Buscopan was given to reduce peristalsis of the bowel, and improve image quality. A Progreat microcatheter was used to select the right colic artery. An inferior branch arising from the right colic artery was a super selected and demonstrated to supply the area of active bleeding. The artery was then embolised using a series of 2 mm coils. Completion angiography confirmed occlusion of this vessel, and cessation of bleeding.