| Technique of Hybrid Retrograde Superior Mesenteric Artery Stent Placement for Acute-on-Chronic Mesenteric Ischemia. | |
| | |
MedLine Citation:
|
PMID: 20889302 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Revascularization for acute mesenteric ischemia can be challenging in patients with bowel gangrene, peritoneal contamination, and no good source of inflow for a bypass graft. A 70-year-old female patient presented with acute-on-chronic mesenteric ischemia, flush superior mesenteric artery (SMA) occlusion, and diffuse aorto-iliac occlusive disease. This study describes the technique of hybrid retrograde SMA recanalization and stent placement using a midline laparotomy is described. The mid-portion of the SMA was exposed and jejunal branches were controlled with silastic vessel loop. Retrograde access was established under direct vision and the occluded SMA segment was crossed, pre-dilated, and stented using a balloon-expandable stent. The SMA was flushed through a longitudinal arteriotomy, which was closed using a saphenous vein patch. Retrograde hybrid SMA stenting is an expeditious option to revascularize patients with acute on chronic mesenteric ischemia who have peritoneal contamination and no other good source of inflow to the mesenteric arteries. |
| | |
Authors:
|
George T Pisimisis; Gustavo S Oderich |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Annals of vascular surgery Volume: 25 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2010-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 132.e7-132.e11 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Anticoagulation with warfarin for budd-Chiari syndrome with chronic inferior vena cava thrombosis: a...
Next Document: Closed-cell stents present with higher velocities on duplex ultrasound compared with open-cell stent...