Chronic mesenteric ischemia (CMI) is a rare disorder that is commonly caused by progressive atherosclerotic stenosis or occlusion of one or more mesenteric arteries. Endovascular treatment for symptomatic CMI represents a viable option, especially in high-operative risk patients. We report a case of acute symptomatic CMI with chronic totally occlusion of the superior mesenteric artery (SMA) associated with significant stenosis of celiac trunk (CT) and inferior mesenteric artery (IMA) that underwent endovascular treatment of all the three mesenteric arteries: stenting of CT and IMA stenosis, and recanalization of the SMA occlusion by retrograde crossing via the Villemin arcade. To our knowledge, this is the first report of endovascular treatment for SMA occlusion via the Villemin arcade in acute mesenteric ischemia. In conclusion, retrograde endovascular recanalization of SMA via Villemin arcade is an effective and safe procedure to treat patients with acute symptomatic CMI.

Endovascular treatment of totally occluded superior mesenteric artery by retrograde crossing via the Villemin arcade. Case report.

FORNARO, ROSARIO
2013

Abstract

Chronic mesenteric ischemia (CMI) is a rare disorder that is commonly caused by progressive atherosclerotic stenosis or occlusion of one or more mesenteric arteries. Endovascular treatment for symptomatic CMI represents a viable option, especially in high-operative risk patients. We report a case of acute symptomatic CMI with chronic totally occlusion of the superior mesenteric artery (SMA) associated with significant stenosis of celiac trunk (CT) and inferior mesenteric artery (IMA) that underwent endovascular treatment of all the three mesenteric arteries: stenting of CT and IMA stenosis, and recanalization of the SMA occlusion by retrograde crossing via the Villemin arcade. To our knowledge, this is the first report of endovascular treatment for SMA occlusion via the Villemin arcade in acute mesenteric ischemia. In conclusion, retrograde endovascular recanalization of SMA via Villemin arcade is an effective and safe procedure to treat patients with acute symptomatic CMI.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11567/608357
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