The investigators hypothesize that a primary embolization, 3-4 weeks before surgery, would allow development of vascular collaterality, in particular for the marginal artery which will ensure a better colonic perfusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
10
proximal occlusion of the inferior mesenteric artery, before its divisional branches, by coils or plug 3-4 weeks prior to surgery.
Endovascular ligation of Inferior mesenteric artery
CHU Nimes
Nîmes, France
Oxygen saturation of the colon after inferior mesenteric artery ligation between groups
Digital oxymeter (%)
Time frame: Prior to start of surgery
Arterial pressure after inferior mesenteric artery ligation between groups
Average (mmHg)
Time frame: Prior to start of surgery
Colonic perfusion in the marginal artery after inferior mesenteric artery ligation between groups
Rectal resistance index measured by Doppler
Time frame: Prior to start of surgery
Oxygen saturation of the colon after inferior mesenteric artery ligation between groups
Digital oxymeter (%)
Time frame: 60 seconds after surgery
Oxygen saturation of the colon after inferior mesenteric artery ligation between groups
Digital oxymeter (%)
Time frame: 5 minutes after surgery
Arterial pressure in the marginal artery after inferior mesenteric artery ligation between groups
Average (mmHg)
Time frame: 60 seconds after surgery
Arterial pressure in the marginal artery after inferior mesenteric artery ligation between groups
Average (mmHg)
Time frame: 5 minutes after surgery
Colonic perfusion in the marginal artery after inferior mesenteric artery ligation between groups
Rectal resistance index measured by Doppler
Time frame: 60 seconds after surgery
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Colonic perfusion in the marginal artery after inferior mesenteric artery ligation between groups
Rectal resistance index measured by Doppler
Time frame: 5 minutes after surgery
Presence of post-embolization complications
Yes/No
Time frame: Day 5 post-emoblization
Presence of post-surgery complications
Yes/No
Time frame: Hospital discharge (Day 7 after surgery)