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 SIMA 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 |
|---|---|
| Pages (from-to) | 129-132 |
| Journal | Journal of Endovascular Therapy |
| Volume | 15 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2008 |
Bibliographical note
The information about affiliations in this record was updated in December 2015.The record was previously connected to the following departments: Medical Radiology Unit (013241410), Unit for Clinical Vascular Disease Research (013242410), Emergency medicine/Medicine/Surgery (013240200)
Subject classification (UKÄ)
- Cardiology and Cardiovascular Disease
Free keywords
- endovascular
- aneurysm repair
- fenestrated stent-graft
- SMA occlusion
- visceral ischemia
- bowel ischemia
- superior mesenteric artery
- mesenteric ischemia