Endovascular recanalization of occluded superior mesenteric artery using retrograde access through the inferior mesenteric artery Eduardo Keller Saadi,

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Endovascular recanalization of occluded superior mesenteric artery using retrograde access through the inferior mesenteric artery Eduardo Keller Saadi,

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Endovascular recanalization of occluded superior mesenteric artery using retrograde access through the inferior mesenteric artery Eduardo Keller Saadi, MD, Gustavo Oderich, MD, Eduardo Medronha, MD, Rodrigo Petersen Saadi, Marina Petersen Saadi, Cristiano Jaegger, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 3, Pages 155-158 (September 2017) DOI: 10.1016/j.jvscit.2017.04.005 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 A, Inferior mesenteric artery (IMA) angiography showed a large arc of Riolan with retrograde filling of the common hepatomesenteric trunk. B, Computed tomography angiography (CTA) also demonstrated a separate occluded trunk that gave origin to a left gastric and splenic artery. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 155-158DOI: (10.1016/j.jvscit.2017.04.005) Copyright © 2017 The Author(s) Terms and Conditions

Fig 2 The 0.014-inch guidewire was crossed retrogradely into the aorta by the Riolan arc and was snared through the contralateral right femoral sheath. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 155-158DOI: (10.1016/j.jvscit.2017.04.005) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 A, Completion angiography showed widely patent superior mesenteric artery (SMA) and replaced hepatic artery with no residual stenosis and excellent antegrade flow with normal opacification of jejunal branches. B, Control computed tomography angiography (CTA) demonstrated widely patent stent with no evidence of stenosis. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 155-158DOI: (10.1016/j.jvscit.2017.04.005) Copyright © 2017 The Author(s) Terms and Conditions