scholarly journals Percutaneous Transcollateral Retrograde Recanalization of Isolated Dissection of the Superior Mesenteric Artery

2019 ◽  
Vol 54 (1) ◽  
pp. 89-92
Author(s):  
Yung Hsu ◽  
Hua-Ming Cheng ◽  
Reng-Hong Wu
Keyword(s):  
Superior Mesenteric Artery ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Endovascular Stent ◽  
Retrograde Approach ◽  
Transfemoral Approach ◽  
Rendezvous Technique ◽  
Endovascular Stent Placement

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.

Endovascular Stent Placement for Treatment of Spontaneous Isolated Dissection of the Superior Mesenteric Artery

2014 ◽  
Vol 28 (2) ◽  
pp. 445-451 ◽  
Author(s):  
Nan Li ◽  
Qing-Sheng Lu ◽  
Jian Zhou ◽  
Jun-Min Bao ◽  
Zhi-Qing Zhao ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
Endovascular Stent ◽  
Endovascular Stent Placement

Application of endovascular stent placement as a remedy for spontaneous isolated superior mesenteric artery dissection

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 350-355 ◽  
Author(s):  
Yuan Sun ◽  
Zhaolei Chen ◽  
Xicheng Zhang
Keyword(s):  
Superior Mesenteric Artery ◽  
Stent Placement ◽  
Mesenteric Artery ◽  
False Lumen ◽  
Artery Dissection ◽  
Endovascular Stent ◽  
Safe Alternative ◽  
Period Range ◽  
Endovascular Stent Placement ◽  
Superior Mesenteric Artery Dissection

Objectives To present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy. Methods The clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deployed in two of these patients after the first stent was implanted. One patient was subjected to a self-expanding stent implantation combined with coil embolization. The remaining patient underwent thrombectomy plus partial intimectomy 2 months before a balloon-expandable stent was implanted. Results All of the patients recuperated uneventfully without any reoccurrence of the symptoms in the follow-up period (range 12–38 months). Contrast-enhanced computer tomography scanning was performed 3 months after the procedure in all of the patients, and the images showed that the false lumen was nearly thrombosed and that the true lumen was maintained patent. Conclusions Endovascular stent placement is a simple and safe alternative to aggressive surgery or uncertain observation.

scholarly journals Anatomical Study of Variations in the Branches of Superior Mesenteric Artery – A Study from a Teaching Hospital in Chennai, India

2021 ◽  
Vol 10 (20) ◽  
pp. 1506-1510
Author(s):  
Ganga Venkatachalam ◽  
Kanagavalli Paramasivam ◽  
Lakshmi Valliyappan
Keyword(s):  
Superior Mesenteric Artery ◽  
Abdominal Aorta ◽  
Mesenteric Artery ◽  
Lumbar Vertebra ◽  
Anatomical Study ◽  
Middle Colic Artery ◽  
Branching Pattern ◽  
Colic Artery ◽  
Human Cadavers ◽  
Derivatives Of

BACKGROUND Superior Mesenteric Artery (SMA) is one of the anterior branches of the abdominal aorta. It originates from abdominal aorta at the level of lower border of first lumbar vertebra, one centimeter below the coeliac trunk. It gives the first branch inferior pancreaticoduodenal artery (IPDA), The colic branches arise from concave right side of the superior mesenteric artery, these are middle colic artery (MCA), right colic artery (RCA), ileo colic artery (ICA). Jejunal and ileal branches arise from left side of the SMA. Superior mesenteric artery supplies derivatives of midgut. Knowledge of branching pattern of the SMA is clinically important to gastroenterologists operating on gut and neighboring structures like pancreas, duodenum, and liver. We wanted to study the variations in the branches of superior mesenteric artery. METHODS This is a descriptive study conducted on 50 adult embalmed human cadavers by conventional dissection method, the findings were noted and tabulated. RESULTS Present study shows that inferior pancreatic duodenal artery orginated from SMA in 47 (94 %) specimens. IPDA was absent in 3 (6 %) specimens. Middle colic artery was found to arise from SMA in 48 (94 %) and MCA was absent in 2 (4 %) specimens. Right colic artery was found to arise from SMA in 47 (94 %) specimens and it was absent in 3 (6 %) specimens. Ileo-colic artery was found to arise from SMA in all 50 (100 %) specimens. CONCLUSIONS Awareness of these complex variations may prevent devastating complications during colonic surgeries. Variations in the branching pattern of superior mesenteric artery is essential for surgeons operating on derivatives of midgut, liver, pancreas. KEY WORDS Branches, Colic, Superior Mesenteric Artery, Variations

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