经胰十二指肠拱廊的肠系膜上动脉闭塞的经侧枝逆行再通。

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-11-30 DOI:10.1016/j.jvscit.2024.101699

Khaled El-Qawaqzeh MD, Romeo Mateo MD, Heepeel Chang MD, Arun Goyal MD, Sateesh Babu MD, Daniel J. Ventarola MD

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引用次数: 0

摘要

我们报告一例86岁女性慢性肠系膜缺血继发于肠系膜上动脉长段阻塞和腹腔动脉几乎完全阻塞。传统的顺行入路不能重建肠系膜上动脉。成功的跨侧枝穿过闭塞的肠系膜上动脉和全身牙线，随后进行顺行球囊血管成形术，冲击波碎石和支架植入。本病例表明，当传统的顺行入路失败时，通过侧支通路逆行再通是肠系膜上动脉阻塞患者的可行选择。

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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. 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.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.