Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.002415
Jornal Vascular Brasileiro
Therapeutic Challenge

Percutaneous retrograde crossing of a near-occluded celiac trunk via the superior mesenteric artery as an adjuvant maneuver for antegrade stenting

Passagem retrógrada percutânea de uma lesão estenosante crítica do tronco celíaco via artéria mesentérica superior como manobra adjuvante na abordagem anterógrada

Martin Andreas Geiger; Joren Callaert; Koen Deloose; Marc Bosiers

Downloads: 0
Views: 95

Abstract

Abstract We describe the case of a 63-year-old woman with chronic mesenteric ischemia, persistent postprandial upper abdominal pain and progressive weight loss. Retrograde recanalization was performed via the superior mesenteric artery in order to achieve the goal of crossing the near-occlusion, showing that retrograde catheterization of the celiac trunk can be a feasible approach in challenging cases in which an antegrade approach fails as a single maneuver.

Keywords

recanalization, angioplasty, celiac trunk

Resumo

Resumo Descrevemos o caso de uma mulher de 63 anos de idade, com isquemia mesentérica crônica, dor abdominal pós-prandial e emagrecimento progressivo. A recanalização retrógrada foi realizada através da artéria mesentérica superior para transpassar a estenose crítica. Demonstra-se assim que o cateterismo retrógrado do tronco celíaco pode ser uma abordagem viável em casos difíceis, em que a abordagem anterógrada falha como manobra única.

Palavras-chave

recanalização, angioplastia, tronco celíaco

References

Kougias P, El Sayed HF, Zhou W, Lin PH. Management of chronic mesenteric ischemia: the role of endovascular therapy. J Endovasc Ther. 2007;14(3):395-405.

Fioole B, van de Rest HJ, Meijer JR. Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia. J Vasc Surg. 2010;51(2):386-91.

Sharafuddin MJ, Nicholson RM, Kresowik TF, Amin PB, Hoballah JJ, Sharp WJ. Endovascular recanalization of total occlusions of the mesenteric and celiac arteries. J Vasc Surg. 2012;55(6):1674-81.

Peck MA, Conrad MF, Kwolek CJ, LaMuraglia GM, Paruchuri V, Cambria RP. Intermediate-term outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia. J Vasc Surg. 2010;51(1):140-7.

Sonesson B, Hinchliffe RJ, Dias NV, Resch TA, Malina M, Ivancev K. Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia. J Endovasc Ther. 2008;15(1):129-32.

Atkins MD, Kwolek CJ, LaMuraglia GM, Brewster DC, Chung TK, Cambria RP. Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. J Vasc Surg. 2007;45(6):1162-71.

Sharafuddin MJ, Olson CH, Sun S, Kresowik TF, Corson JD. Endovascular treatment of celiac and mesenteric arteries stenoses: applications and results. J Vasc Surg. 2003;38(4):692-8.

Sarac TP, Altinel O, Kashyap V. Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia. J Vasc Surg. 2008;47(3):485-91.

Ferro C, Rossi UG, Seitun S, Bovio G, Fornaro R. Endovascular treatment of totally occluded superior mesenteric artery by retrograde crossing via the Villemin arcade. Cardiovasc Intervent Radiol. 2013;36(3):848-52.

Montero-Baker M, Schmidt A, Braunlich S. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther. 2008;15(5):594-604.

5de6c49d0e88254433e3e9d0 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections