Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia
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.
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A few small case series have reported PTA/S use in AMI.
“Several small case series have described using PTA/S for treatment of AMI.18–22”
From Mesenteric revascularization: management and outcomes in the United States, 1988-2006 (2009) · cites this paper as [22]
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- Authors
- Sonesson, B., Hinchliffe, R. J., Dias, N. V., Resch, T. A., Malina, M., & Ivancev, K.
- Affiliations
- Skåne University Hospital (SE)
- Venue
- Journal of Endovascular Therapy
- Published
- 2008-02
- Volume
- 15
- Issue
- 1
- Pages
- 129-132
- ISSN
- 1526-6028 (ISSN-L)
- 1545-1550
- OpenAlex
- W2151976348
- Cited by
- 48
- References
- 6
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Endovascular Therapy (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Keywords
- superior mesenteric artery occlusion, acute mesenteric ischemia, hybrid revascularization, retrograde recanalization, fenestrated stent graft, visceral ischemia, atherosclerotic occlusion, thrombotic occlusion
- MeSH terms
- Acute Disease, Angiography, Angioplasty, Balloon, Blood Vessel Prosthesis, Humans, Mesenteric Vascular Occlusion, Prosthesis Design, Stents, Radiography, Interventional, Treatment Outcome, Mesenteric Artery, Superior, Blood Vessel Prosthesis Implantation
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