Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade
We 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....
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002831 |
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| author | Khaled El-Qawaqzeh, MD Romeo Mateo, MD Heepeel Chang, MD Arun Goyal, MD Sateesh Babu, MD Daniel J. Ventarola, MD |
| author_facet | Khaled El-Qawaqzeh, MD Romeo Mateo, MD Heepeel Chang, MD Arun Goyal, MD Sateesh Babu, MD Daniel J. Ventarola, MD |
| author_sort | Khaled El-Qawaqzeh, MD |
| collection | DOAJ |
| description | We 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. |
| format | Article |
| id | doaj-art-cc351aa0b4024794b3e12dda309cb148 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-cc351aa0b4024794b3e12dda309cb1482025-08-20T03:06:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-0111210169910.1016/j.jvscit.2024.101699Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcadeKhaled El-Qawaqzeh, MD0Romeo Mateo, MD1Heepeel Chang, MD2Arun Goyal, MD3Sateesh Babu, MD4Daniel J. Ventarola, MD5Correspondence: Khaled El-Qawaqzeh, MD, Westchester Medical Center, Department of Surgery, Division of Vascular Surgery, 100 Woods Road, Valhalla, NY 10595; Department of Surgery, Westchester Medical Center, Valhalla, NYDepartment of Surgery, Westchester Medical Center, Valhalla, NYDepartment of Surgery, Westchester Medical Center, Valhalla, NYDepartment of Surgery, Westchester Medical Center, Valhalla, NYDepartment of Surgery, Westchester Medical Center, Valhalla, NYDepartment of Surgery, Westchester Medical Center, Valhalla, NYWe 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.http://www.sciencedirect.com/science/article/pii/S2468428724002831Chronic mesentric ischemiaEndovascular stenting placementMesenteric stentingRetrograde approachShockwave intravascular lithotripsy |
| spellingShingle | Khaled El-Qawaqzeh, MD Romeo Mateo, MD Heepeel Chang, MD Arun Goyal, MD Sateesh Babu, MD Daniel J. Ventarola, MD Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade Journal of Vascular Surgery Cases and Innovative Techniques Chronic mesentric ischemia Endovascular stenting placement Mesenteric stenting Retrograde approach Shockwave intravascular lithotripsy |
| title | Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| title_full | Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| title_fullStr | Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| title_full_unstemmed | Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| title_short | Transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| title_sort | transcollateral retrograde recanalization of superior mesenteric artery occlusion through the pancreaticoduodenal arcade |
| topic | Chronic mesentric ischemia Endovascular stenting placement Mesenteric stenting Retrograde approach Shockwave intravascular lithotripsy |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002831 |
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