scholarly journals Multicenter Experience With Retrograde Open Mesenteric Artery Stenting via Laparotomy for Treatment of Acute and Chronic Mesenteric Ischemia

2014 ◽  
Vol 59 (2) ◽  
pp. 565-566 ◽  
Author(s):  
Rodrigo Almeida Coelho Macedo ◽  
Gustavo S. Oderich ◽  
Kalra Manju ◽  
David Stone ◽  
Edward Woo ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Chronic Mesenteric Ischemia

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

2018 ◽  
Vol 52 (7) ◽  
pp. 561-564
Author(s):  
Suresh Giragani ◽  
Ankit Balani ◽  
Viswanath Reddy ◽  
Keerthi Talari Bommakanti ◽  
Surendar Alwala ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
English Literature ◽  
Rare Condition ◽  
Surgical Reconstruction ◽  
Artery Dissection ◽  
Chronic Mesenteric Ischemia ◽  
Systemic Lupus

We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. The optimal treatment options are debatable and include medical management, surgical reconstruction, and endovascular therapy. We wish to highlight spontaneous isolated IMA dissection as a rare etiology for chronic mesenteric ischemia and its management by endovascular methods.

Combined Endovascular and Surgical Retrograde Superior Mesenteric Artery Recanalization

2018 ◽  
Author(s):  
Syed M. Peeran
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Atherosclerotic Lesion ◽  
Acute Mesenteric Ischemia ◽  
Exploratory Laparotomy ◽  
Chronic Mesenteric Ischemia ◽  
Hybrid Technique ◽  
Current Standard ◽  
Stent Deployment

Acute mesenteric ischemia is a life-threatening vascular emergency associated with a very high mortality rate. In the setting of necrotic bowel, the current standard of care requires a laparotomy with bowel resection and surgical or endovascular revascularization of the superior mesenteric artery. Unfortunately, mesenteric bypass confers high perioperative mortality, in some reports up to 45%. A hybrid technique that employs an exploratory laparotomy, catheterization of the distal superior mesenteric artery, and stent deployment across the atherosclerotic lesion was first described in 2004 for the treatment of acute-on-chronic mesenteric ischemia. This chapter describes the appropriate clinical indications, the technical aspects of performing this hybrid procedure, as well as the challenges and common pitfalls encountered.

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