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

http://dx.doi.org/10.1590/1677-5449.002415 J Vasc Bras, vol.15, n1, p.61-65, 2016
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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

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