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ludc webb

Nuno Dias

Associate professor

ludc webb

Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia

Author

  • Björn Sonesson
  • Robert J Hinchliffe
  • Nuno Dias
  • Tim Resch
  • Martin Malina
  • Krassi Ivancev

Summary, in English

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.

Department/s

  • Department of Clinical Sciences, Malmö
  • Vascular Diseases - Clinical Research
  • Radiology Diagnostics, Malmö

Publishing year

2008

Language

English

Pages

129-132

Publication/Series

Journal of Endovascular Therapy

Volume

15

Issue

1

Document type

Journal article

Publisher

International Society of Endovascular Specialists

Topic

  • Cardiac and Cardiovascular Systems

Keywords

  • endovascular
  • aneurysm repair
  • fenestrated stent-graft
  • SMA occlusion
  • visceral ischemia
  • bowel ischemia
  • superior mesenteric artery
  • mesenteric ischemia

Status

Published

Research group

  • Vascular Diseases - Clinical Research
  • Radiology Diagnostics, Malmö

ISBN/ISSN/Other

  • ISSN: 1545-1550