Mesenteric artery complications during angioplasty and stent placement for atherosclerotic chronic mesenteric ischemia Gustavo S. Oderich, MD, Tiziano.

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Presentation transcript:

Mesenteric artery complications during angioplasty and stent placement for atherosclerotic chronic mesenteric ischemia Gustavo S. Oderich, MD, Tiziano Tallarita, MD, Peter Gloviczki, MD, Audra A. Duncan, MD, Manju Kalra, MBBS, Sanjay Misra, MD, Stephen Cha, MS, Thomas C. Bower, MD Journal of Vascular Surgery Volume 55, Issue 4, Pages 1063-1071 (April 2012) DOI: 10.1016/j.jvs.2011.10.122 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 An 85-year-old woman presented with chronic abdominal pain and weight loss for 3 months and occlusion of the celiac axis and superior mesenteric artery (SMA). A and B, Successful recanalization of an occluded SMA was complicated by distal embolization (white arrow), which was (C) successfully salvaged by catheter-directed thrombolysis and catheter aspiration with an Export aspiration catheter (Medtronic, Minneapolis, Minn) over a 0.014-inch wire. D, Completion angiography showed widely patent SMA with a small, non–flow-limiting dissection flap (black arrow). Journal of Vascular Surgery 2012 55, 1063-1071DOI: (10.1016/j.jvs.2011.10.122) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Mesenteric artery stenting performed through the femoral approach was complicated by (B) side branch perforation (white arrow). The correct location to position the guidewire should be ideally in the main trunk of the superior mesenteric artery (A, black curved arrow and C) and not within jejunal branches (A, straight black arrow and C). Journal of Vascular Surgery 2012 55, 1063-1071DOI: (10.1016/j.jvs.2011.10.122) Copyright © 2012 Society for Vascular Surgery Terms and Conditions