Recanalization of Chronic Total Occlusions of the Superior Mesenteric Artery in Patients with Chronic Mesenteric Ischemia: Technical and Clinical Outcomes

Grilli, C.; Fedele, Charles R.; Tahir, O.M.; Wrigley, C.; Garcia, Mark J.; Kimbiris, G.; Agriantonis, D.J.; Leung, Daniel A.

doi:10.1016/j.jvir.2014.07.003

Cited by 31 publications

(19 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A single center retrospective review of 47 patients undergoing endovascular treatment of SMA CTO showed 87% technical success, about 32% of which also underwent CA intervention. Freedom from symptomatic recurrence was seen in 95% of patients at 12 months and 78% at 24 months . Further technical aspects that can increase success rates include left transradial or BA access as opposed to the trans‐femoral approach providing better back up support as the SMA runs vertically along the abdominal aorta allowing for better angle for engagement and guidewire support .…”

Section: Discussionmentioning

confidence: 99%

Recanalization of superior mesenteric artery chronic total occlusion using hybrid algorithm and dissection reentry device

Memon

Janzer

Kalra

et al. 2020

Cathet Cardio Intervent

View full text Add to dashboard Cite

Chronic total occlusion (CTO) of mesenteric arteries with associated chronic mesenteric ischemia (CMI) is associated with high morbidity and mortality. Endovascular intervention has been associated with high technical success with high rates of freedom from symptoms and long‐term patency. However, to achieve high procedural success, use of optimal vascular access and expertise in CTO hybrid algorithm including advanced dissection reentry strategies are essential. We present a case of CMI from severe celiac artery (CA) stenosis and CTO of superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). After treatment of CA stenosis, we were unsuccessful in our first attempt at recanalization of SMA CTO. On second attempt, left brachial artery (BA) access was obtained and the hybrid algorithm along with use of Stingray Reentry balloon (Boston Scientific) for dissection reentry into true lumen was successful in recanalizing the SMA CTO with placement of balloon expandable covered stents (CS). To the best of our knowledge, this is the first case report utilizing Sting‐ray Reentry balloon in the mesenteric arteries.

show abstract

Section: Discussionmentioning

confidence: 99%

Recanalization of superior mesenteric artery chronic total occlusion using hybrid algorithm and dissection reentry device

Memon

Janzer

Kalra

et al. 2020

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…2) The short-term outcome of endovascular treatment was successful; however, long-term patency was limited due to restenosis. 3,4) In patients with combined CA and SMA stenoses, the collateral circulation was mainly facilitated from the IMA through the arcade of Riolan or Drummond. 5) In the present case, the endovascular repair of the IMA was difficult due to the acute angle of takeoff from the abdominal aorta.…”

Section: Discussionmentioning

confidence: 99%

Reimplantation of a Stenotic Inferior Mesenteric Artery for Chronic Visceral Artery Occlusion after Failed Bypass to the Superior Mesenteric Artery

Fukuda

Murakami

et al. 2019

Annals of Vascular Diseases

View full text Add to dashboard Cite

The patient was a 71-year-old man complaining of postprandial abdominal pain and weight loss. Computed tomography angiography showed occlusion of the superior mesenteric artery and the celiac axis. The inferior mesenteric artery, supplying the mesenteric circulation, was stenotic at its origin. The patient had portal vein thrombosis and was diagnosed as having antiphospholipid antibody syndrome. The reimplantation of the inferior mesenteric artery was successfully performed after failed bypass grafting to the superior mesenteric artery from the abdominal aorta.

show abstract

“…13,14 A recent study of endovascular therapy for chronic mesenteric artery occlusions has reported high technical success rate (87%) with no major complications, making this method of management, an attractive choice. 15…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of chronic mesenteric ischemia: a single centre experience in Western Rajasthan, India

et al. 2017

View full text Add to dashboard Cite

Background: Chronic mesenteric ischemia (CMI) or mesenteric angina is a condition characterised by inadequate blood supply to bowel as a result of stenosis affecting one or more of the three mesenteric arteries: the celiac artery (CA), the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA).Methods: Ten patients with significant lesion, treated with PTA and stenting were selected for study and were followed at 2 weeks, at 2 months then at 6 months after index procedure to see composite of symptomatic improvement, weight gain and revascularization.Results: On mesenteric angiography, significant ostial stenosis of celiac trunk and superior mesenteric artery in 5 patients, 3 patients had significant ostial stenosis of celiac trunk and ostial stenosis of inferior mesenteric artery and 2 patients had significant stenosis of superior mesenteric artery. Percutaneous transluminal angioplasty (PTA) and stenting was done, final result was good and there was no residual stenosis and dissection. After stenting patients were stable and pain free. There were no post-operative complications. Follow up was done after 2 weeks and 2 months and then at six months. There was no postprandial abdominal pain on follow up and almost all patient had gained weight in 2 months and on 6 months of follow up, no case of repeat revascularization was recorded.Conclusions: Percutaneous transluminal angioplasty (PTA) and stenting to mesenteric artery is good alternative management of CMI. In present series, all cases were susses fully revascularized without residual stenosis and dissection.

show abstract

Recanalization of Chronic Total Occlusions of the Superior Mesenteric Artery in Patients with Chronic Mesenteric Ischemia: Technical and Clinical Outcomes

Cited by 31 publications

References 17 publications

Recanalization of superior mesenteric artery chronic total occlusion using hybrid algorithm and dissection reentry device

Recanalization of superior mesenteric artery chronic total occlusion using hybrid algorithm and dissection reentry device

Reimplantation of a Stenotic Inferior Mesenteric Artery for Chronic Visceral Artery Occlusion after Failed Bypass to the Superior Mesenteric Artery

Endovascular management of chronic mesenteric ischemia: a single centre experience in Western Rajasthan, India

Contact Info

Product

Resources

About