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Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia

Sonesson, Björn LU ; Hinchliffe, Robert J ; Dias, Nuno LU orcid ; Resch, Tim LU ; Malina, Martin LU and Ivancev, Krassi LU (2008) In Journal of Endovascular Therapy 15(1). p.129-132
Abstract
Purpose: To describe an alternative hybrid endovascular/open approach to revascularizing the occluded superior mesenteric artery (SMA) in patients with acute ischemia. Technique: A laparotomy is performed to assess any visceral ischemia. The SMA is exposed, clamped distally, and cannulated proximally. The SMA occlusion is crossed in a retrograde fashion. Balloon embolectomy or stent implantation may be performed if required. This technique has been used in 6 patients: 2 with acute atherosclerotic occlusion, 1 with thrombotic occlusion and distal emboli, and another 3 in whom the SMA ostium had been covered during placement of a fenestrated stent-graft. Conclusion: A hybrid approach to SIMA occlusions with retrograde recanalization is... (More)
Purpose: To describe an alternative hybrid endovascular/open approach to revascularizing the occluded superior mesenteric artery (SMA) in patients with acute ischemia. Technique: A laparotomy is performed to assess any visceral ischemia. The SMA is exposed, clamped distally, and cannulated proximally. The SMA occlusion is crossed in a retrograde fashion. Balloon embolectomy or stent implantation may be performed if required. This technique has been used in 6 patients: 2 with acute atherosclerotic occlusion, 1 with thrombotic occlusion and distal emboli, and another 3 in whom the SMA ostium had been covered during placement of a fenestrated stent-graft. Conclusion: A hybrid approach to SIMA occlusions with retrograde recanalization is feasible. It is of particular use in patients with acute or iatrogenic occlusion and allows assessment of visceral ischemia. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
endovascular, aneurysm repair, fenestrated stent-graft, SMA occlusion, visceral ischemia, bowel ischemia, superior mesenteric artery, mesenteric ischemia
in
Journal of Endovascular Therapy
volume
15
issue
1
pages
129 - 132
publisher
International Society of Endovascular Specialists
external identifiers
  • wos:000253060300018
  • scopus:39149095979
ISSN
1545-1550
DOI
10.1583/07-2210.1
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Medical Radiology Unit (013241410), Unit for Clinical Vascular Disease Research (013242410), Emergency medicine/Medicine/Surgery (013240200)
id
521c9f01-43a6-4c57-a206-c3ddc3a27e6c (old id 1198651)
date added to LUP
2016-04-01 11:43:04
date last changed
2022-01-26 17:12:04
@article{521c9f01-43a6-4c57-a206-c3ddc3a27e6c,
  abstract     = {{Purpose: To describe an alternative hybrid endovascular/open approach to revascularizing the occluded superior mesenteric artery (SMA) in patients with acute ischemia. Technique: A laparotomy is performed to assess any visceral ischemia. The SMA is exposed, clamped distally, and cannulated proximally. The SMA occlusion is crossed in a retrograde fashion. Balloon embolectomy or stent implantation may be performed if required. This technique has been used in 6 patients: 2 with acute atherosclerotic occlusion, 1 with thrombotic occlusion and distal emboli, and another 3 in whom the SMA ostium had been covered during placement of a fenestrated stent-graft. Conclusion: A hybrid approach to SIMA occlusions with retrograde recanalization is feasible. It is of particular use in patients with acute or iatrogenic occlusion and allows assessment of visceral ischemia.}},
  author       = {{Sonesson, Björn and Hinchliffe, Robert J and Dias, Nuno and Resch, Tim and Malina, Martin and Ivancev, Krassi}},
  issn         = {{1545-1550}},
  keywords     = {{endovascular; aneurysm repair; fenestrated stent-graft; SMA occlusion; visceral ischemia; bowel ischemia; superior mesenteric artery; mesenteric ischemia}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{129--132}},
  publisher    = {{International Society of Endovascular Specialists}},
  series       = {{Journal of Endovascular Therapy}},
  title        = {{Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia}},
  url          = {{http://dx.doi.org/10.1583/07-2210.1}},
  doi          = {{10.1583/07-2210.1}},
  volume       = {{15}},
  year         = {{2008}},
}