Retrograde Superior Mesenteric Artery Stenting for Acute Mesenteric Arterial Thrombosis

Abstract

Retrograde superior mesenteric artery stenting (ROMS) represents a significant development in the treatment of acute mesenteric ischemia. Compared to traditional surgical mesenteric bypass, ROMS is a less invasive technique that avoids many complications associated with emergent mesenteric bypass. This case report illustrates that retrograde superior mesenteric artery (SMA) stenting is an option for the treatment of acute mesenteric ischemia for patients in extremis.

Endovascular recanalisation of an acute superior mesenteric artery occlusion. A case report and review of the literature

“…The hybrid approach was technically successful in 3 of 6 patients for whom the percutaneous approach failed, and overall mortality was lower in the hybrid group (although not statistically significant). The authors and other proponents [31–33] draw attention to the benefits of combining laparotomy (direct bowel examination to confirm viability) with endovascular intervention, particularly for patients who would otherwise require open surgical revascularisation [14] . However, using the hybrid approach it is also possible that patients for whom an early diagnosis has been made (and therefore suitable for percutaneous endovascular intervention) would be subjected to unnecessary laparotomy.…”

Percutaneous Treatment of Liver Failure and Acute Mesenteric Ischaemia

“…Successful endovascular treatment was associated with improved mortality compared with traditional therapy (36% vs. 50%). 4 The technique called 'retrograde superior mesenteric artery stenting' (ROMS) combines both open surgical and endovascular methods.…”

Intestinal ischemia: current treatment concepts

“…In some patients, primary stenting to restore the blood supply of ischemic bowel segments followed by laparotomy has been reported to be beneficial [25]. In another case report, retrograde stenting of the mesenteric artery during laparotomy was successful [31]. Larger studies are necessary to further evaluate the role of interventional methods in the treatment of mesenteric arterial thrombosis.…”