Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade

AbstractWe present a case of an 86-year-old female with chronic mesenteric ischemia secondary to long-segment flush occlusion of the superior mesenteric artery and near-total occlusion of the celiac artery. The superior mesenteric artery was unable to be revascularized by conventional antegrade appr...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2025-04, Vol.11 (2), p.101699-101699, Article 101699
Main Authors: El-Qawaqzeh, Khaled, MD, Mateo, Romeo, MD, Chang, Heepeel, MD, Goyal, Arun, MD, Babu, Sateesh, MD, Ventarola, Daniel J., MD
Format: Article
Language:English
Subjects:
Case report
Chronic mesentric ischemia
Endovascular stenting placement
Mesenteric stenting
Retrograde approach
Shockwave intravascular lithotripsy
Surgery
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Summary:AbstractWe present a case of an 86-year-old female with chronic mesenteric ischemia secondary to long-segment flush occlusion of the superior mesenteric artery and near-total occlusion of the celiac artery. The superior mesenteric artery was unable to be revascularized by conventional antegrade approaches. Successful transcollateral crossing of the occluded superior mesenteric artery and body-flossing, followed by antegrade balloon angioplasty, shockwave lithotripsy, and stent implantation were performed. This case demonstrates that retrograde recanalization via collateral pathways is a viable alternative for patients with superior mesenteric artery flush occlusion when conventional antegrade approaches fail.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101699