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Successful use of blunt microdissection catheter in a chronic total occlusion of a celiomesenteric artery
Author(s) -
Ayers N.P.,
Zacharias S.J.,
AbuFadel M.S.,
Hennebry T.A.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20954
Subject(s) - medicine , superior mesenteric artery , surgery , mesenteric ischemia , blunt , celiac artery , artery , occlusion , percutaneous , endarterectomy , stent , ischemia , stenosis , radiology , cardiology
Chronic mesenteric ischemia is often a disabling condition associated with intestinal angina, weight loss, and sitophobia (a morbid aversion of food). Significant stenosis of two of the three main arteries of the gut is usually required to produce symptoms. Surgical therapy has included reimplantation and bypass grafting, usually with synthetic conduits and occasionally endarterectomy. Newer techniques have made endovascular treatment an emerging modality in managing some of the difficult lesions in the mesenteric circulation that cause chronic mesenteric ischemia. We describe the first reported case of blunt microdissection using a Frontrunner XP® CTO Catheter (Lumend, Redwood City, CA) to successfully cross, subsequently wire and stent a four‐year‐old chronic total occlusions in a celiac trunk, which also gave origin to the superior mesenteric artery. © 2006 Wiley‐Liss, Inc.