Revascularization Using Arterial Conduits for Abdominal Angina Due to Isolated and Spontaneous Dissection of the Superior Mesenteric Artery

2005 ◽  
Vol 19 (3) ◽  
pp. 418-420 ◽  
Author(s):  
Kazuhiro Kochi ◽  
Kazumasa Orihashi ◽  
Yoshiaki Murakami ◽  
Taijiro Sueda
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Shinichi Tanaka ◽  
Atsushi Fukuda ◽  
Eisuke Kawakubo ◽  
Takuya Matsumoto

Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.


2016 ◽  
Vol 4 (11) ◽  
pp. 1034-1037 ◽  
Author(s):  
Mohammad Jamal Uddin Ansari ◽  
Nikunjkumar Patel ◽  
Sunil Tulpule ◽  
Shuvendu Sen ◽  
Abdalla Yousif

2018 ◽  
Vol 11 (1) ◽  
pp. 120-122 ◽  
Author(s):  
Ai Tochikubo ◽  
Shinji Abe ◽  
Tomoji Yamakawa ◽  
Makoto Yoshida ◽  
Yasushige Shingu ◽  
...  

2021 ◽  
Author(s):  
Kazunori Horie ◽  
Akiko Tanaka ◽  
Norio Tada

Abstract BACKGROUND: Mesenteric ischemia is often a manifestation of severe vascular disease involving the superior mesenteric artery (SMA). Endovascular revascularization is still challenging in a chronic total occlusion (CTO) of SMA.CASE PRESENTATION: An-73-year-old male was referred to our hospital because of a 2-year history of abdominal angina after each meal. Computed tomography (CT) images revealed a heavily calcified CTO in the ostium of SMA. Angiography did not show the collateral route suitable for transcollateral approach (TCA); however, the three-dimension CT detected pancreaticoduodenal arcade from the celiac artery to the occluded SMA. According to CT imaging, transcollateral wire crossing from the celiac artery was successful in the SMA-CTO. After pull-through of the guide wire, two balloon-expandable stents were deployed in the ostium of SMA. During 3 months after the stent implantation, the patient had no further episodes of abdominal angina on dual-anti-platelet therapyCONCLUSIONS: We demonstrated a case of SMA occlusion with heavy calcification treated with stent implantation using TCA guided by CT imaging.


2004 ◽  
Vol 43 (6) ◽  
pp. 451-452 ◽  
Author(s):  
Morihiro OKADA ◽  
Tadashi ISHIGUCHI ◽  
Hidekazu ITOH

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Nicolas C Buchs ◽  
Pierre Charbonnet ◽  
Frank Schwenter ◽  
Christoph D Becker ◽  
Philippe Morel ◽  
...  

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