Abstract
PURPOSE: To describe an alternative hybrid endovascular/open approach to revascularizing the occluded superior mesenteric artery (SMA) in patients with acute ischemia.
TECHNIQUE: A laparotomy is performed to assess any visceral ischemia. The SMA is exposed, clamped distally, and cannulated proximally. The SMA occlusion is crossed in a retrograde fashion. Balloon embolectomy or stent implantation may be performed if required. This technique has been used in 6 patients: 2 with acute atherosclerotic occlusion, 1 with thrombotic occlusion and distal emboli, and another 3 in whom the SMA ostium had been covered during placement of a fenestrated stent-graft.
CONCLUSION: A hybrid approach to SMA occlusions with retrograde recanalization is feasible. It is of particular use in patients with acute or iatrogenic occlusion and allows assessment of visceral ischemia.
| Original language | English |
|---|---|
| Journal | Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists |
| Volume | 15 |
| Issue number | 1 |
| Pages (from-to) | 129-32 |
| Number of pages | 4 |
| ISSN | 1526-6028 |
| DOIs | |
| Publication status | Published - Feb 2008 |
| Externally published | Yes |
Keywords
- Acute Disease
- Angiography
- Angioplasty, Balloon
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation/methods
- Humans
- Mesenteric Artery, Superior
- Mesenteric Vascular Occlusion/therapy
- Prosthesis Design
- Radiography, Interventional
- Stents
- Treatment Outcome
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