Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac.

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Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk M. Wohlauer, H. Kobeiter, P. Desgranges, J.P. Becquemin, F. Cochennec EJVES Extra Volume 27, Issue 3, Pages e21-e23 (March 2014) DOI: 10.1016/j.ejvsextra.2014.01.001 Copyright © 2014 European Society for Vascular Surgery Terms and Conditions

Figure 1 Patient number 1 preoperative image, with a computed tomography angiogram revealing a high-grade stenosis of the first 3-cm of a heavily calcified superior mesenteric artery and a widely patent celiac artery (A). The inferior mesenteric artery had a tight stenosis at its origin but otherwise appeared patent, with a well-developed Riolan arcade (B). Completion angiogram shows stent in the inferior mesenteric artery (C). EJVES Extra 2014 27, e21-e23DOI: (10.1016/j.ejvsextra.2014.01.001) Copyright © 2014 European Society for Vascular Surgery Terms and Conditions

Figure 2 Patient number 2. A computed tomography scan showed a 4.5-cm segment of thrombosed superior mesenteric artery, and stenosis of the celiac trunk, consistent with chronic mesenteric ischemia (A). At the end of the case, angiography showed perfusion of the Riolan arcade and branches of the inferior mesenteric artery (B). Postoperative computed tomography scan and 6-month follow-up angiogram showing patent stent in the inferior mesenteric artery (C, D). EJVES Extra 2014 27, e21-e23DOI: (10.1016/j.ejvsextra.2014.01.001) Copyright © 2014 European Society for Vascular Surgery Terms and Conditions