Percutaneous Transcollateral Retrograde Recanalization of Isolated Dissection of the Superior Mesenteric Artery
| Autor: | Reng-Hong Wu, Yung Hsu, Hua-Ming Cheng |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Treatment options General Medicine Dissection (medical) biochemical phenomena metabolism and nutrition medicine.disease Surgery Middle colic artery Stent placement fluids and secretions medicine.artery Laparotomy medicine Retrograde approach Superior mesenteric artery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular and Endovascular Surgery. 54:89-92 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574419877618 |
| Popis: | Endovascular stent placement (ESP) for patient with spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is a widely accepted treatment option. However, failed percutaneous ESP is not uncommon and is one of the leading causes for laparotomy. We report a case of 63-year-old man with SIDSMA encountered failed antegrade recanalization via conventional transfemoral approach. We achieved recanalization in a retrograde fashion through middle colic artery using rendezvous technique and successfully placed self-expandable stents inside the dissected superior mesenteric artery. The patient recovered well after percutaneous ESP. We herein describe the transcollateral retrograde approach of percutaneous ESP for SIDSMA as an alternative option when conventional antegrade recanalization fails. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|