Preoperative Embolization of the Inferior Mesenteric Artery in Colorectal Surgery (EPAMIR)
Embolism Mesenteric
About this trial
This is an interventional treatment trial for Embolism Mesenteric focused on measuring Colorectal surgery, Ischemic conditioning, Embolization, Inferior mesenteric artery, Anastomotic fistula
Eligibility Criteria
Inclusion Criteria:
- Adult patients
- Patient to benefit from left colonic surgery or rectal surgery with upper ligation of the inferior mesenteric artery and colorectal or colo anastomosis
- Person affiliated to or benefiting from social security
- Person who has given written informed consent
Exclusion Criteria:
- History of digestive resection or abdominal aorta surgery
- Renal failure with GFR < 30 ml/min (MDRD)
- History of severe allergy to iodine contrast medium
- Pregnant, parturient, lactating women
- Patient subject to a legal protection measure or unable to express his non-opposition (guardianship, curatorship)
- Patient deprived of liberty by judicial or administrative decision
Sites / Locations
- Grenoble Alpes University Hospital
Arms of the Study
Arm 1
Experimental
Embolization of the inferior mesenteric artery
Only one arm: Patient followed for sigmoid/rectal cancer Pré-Selection Preoperative consultation, first information to the patient, Validation of IC / NIC, CT-TAP available Selection Interventional radiology consultation: Consent collection + additional exams Inclusion V1 - D0: Follow-up visit V2 - D2: Phone call, pain assessment and analgesic treatments collection Follow-up visit V3 - D7: Phone call, pain assessment and analgesic treatments collection Follow-up visit V4 - D21-D30: CT-TAP Follow-up visit V5 - D30: Digestive surgery consultation + additionnal exams Surgery V6 - D0: Colic surgery + additional exams Post-surgery visit V7 - D30: Last visit, additionnal exams