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Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia

Sonesson, Björn LU ; Hinchliffe, Robert J; Dias, Nuno LU ; 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
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
id
521c9f01-43a6-4c57-a206-c3ddc3a27e6c (old id 1198651)
date added to LUP
2008-09-10 16:04:24
date last changed
2017-07-30 03:33:50
@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},
  keyword      = {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},
  volume       = {15},
  year         = {2008},
}