| Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia. | |
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MedLine Citation:
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PMID: 18254664 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Björn Sonesson; Robert J Hinchliffe; Nuno V Dias; Timothy A Resch; Martin Malina; Krassi Ivancev |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 15 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-07 Completed Date: 2008-05-13 Revised Date: 2008-09-04 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 129-32 Citation Subset: IM |
Affiliation:
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Vascular Centre Malmö-Lund, Malmö University Hospital, Malmö, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
| Comments/Corrections | |
Comment In:
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J Endovasc Ther. 2008 Apr;15(2):244-5
[PMID:
18426273
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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