Open AccessRetrograde open superior mesenteric artery stenting: a novel approach to managing occluded ilio-superior mesenteric artery grafts
Author(s) -
Michael G Fadel,
Brian T. Andrews
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-233500
Subject(s) - medicine , superior mesenteric artery , bypass grafting , mesenteric ischemia , artery , mesenteric arteries , inferior mesenteric artery , surgery , thrombosis , cardiology , ischemia
Acute mesenteric ischaemia (AMI) can be treated either by open bypass grafting or occasionally by antegrade endovascular stenting. We present a patient with symptoms of AMI, in the early postoperative period, following thrombosis of an iliac to superior mesenteric bypass to treat chronic mesenteric ischaemia. A hybrid technique combining open surgery with a retrograde endovascular approach was performed. This allowed for direct visualisation of the bowel and immediate revascularisation of the mesenteric circulation.