Retrograde open mesenteric stenting for acute mesenteric ischemia

Slides:

Advertisements

Similar presentations

The influence of respiration on criteria for transabdominal duplex examination of the splanchnic arteries in patients with suspected chronic splanchnic.

Advertisements

Acute mesenteric ischemia after cardiopulmonary bypass

Retrograde open mesenteric stenting for acute mesenteric ischemia

Mel J. Sharafuddin, MD, Rachael M. Nicholson, MD, Timothy F

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

A modern series of acute aortic occlusion

The influence of respiration on criteria for transabdominal duplex examination of the splanchnic arteries in patients with suspected chronic splanchnic.

Endovascular treatment of internal iliac artery obstructive disease

Balloon angioplasty versus Viabahn stent graft for treatment of failing or thrombosed prosthetic hemodialysis grafts Thomas Vesely, MD, William DaVanzo,

Robert J. Beaulieu, MD, K. Dean Arnaoutakis, MD, Christopher J

Mesenteric stenosis, collaterals, and compensatory blood flow

Outcome of visceral chimney grafts after urgent endovascular repair of complex aortic lesions Adel Bin Jabr, MD, PhD, Bengt Lindblad, MD, PhD, Thorarinn.

Mel J. Sharafuddin, MD, Rachael M. Nicholson, MD, Timothy F

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A

Catheter-based neurosalvage for acute embolic complication during carotid intervention Mao-Shin Lin, MD, Ying-Hsien Chen, MD, Chi-Chao Chao, MD, Cheng-Hsin.

Endovascular treatment of contained rupture of a superior mesenteric artery aneurysm resulting from neurofibromatosis type I Célio Teixeira Mendonça,

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Balloon angioplasty versus Viabahn stent graft for treatment of failing or thrombosed prosthetic hemodialysis grafts Thomas Vesely, MD, William DaVanzo,

Seth A. Vernon, MD, William R. C. Murphy, MD, Todd W

Melanie K. Rose, MD, Benjamin J. Pearce, MD, Thomas C

Early and Late Clinical Outcome of Percutaneous Transluminal Stenting of the Celiac and Superior Mesenteric Arteries: Our Experience Over the Past Decade

Tommaso Lupattelli, MD, Giovanni Nano, MD, Luigi Inglese, MD

Jarod McAteer, MD, Robert Ricca, MD, Kaj H. Johansen, MD, PhD, Adam B

Blake A. Hamby, MD, Daniel E. Ramirez, MD, George E

Therapeutic management of superior mesenteric artery aneurysms

Kevin J. Bruen, MD, Robert J. Feezor, MD, Michael J

Mark C. Wyers, MD, Richard J. Powell, MD, Brian W. Nolan, MD, Jack L

Factors related to outcome of neuroischemic/ischemic foot ulcer in diabetic patients Jan Apelqvist, MD, PhD, Targ Elgzyri, MD, Jan Larsson, MD, PhD, Magnus.

Treatment of limb-threatening ischemia with percutaneous intentional extraluminal recanalization: a preliminary evaluation Gerald S Treiman, MD, John.

Percutaneous transluminal angioplasty versus primary stenting in infrapopliteal arterial disease: A meta-analysis of randomized trials Ridong Wu, MD,

Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: A comparative experience Marvin D. Atkins, MD, Christopher J.

Open versus endovascular revascularization for chronic mesenteric ischemia: Risk- stratified outcomes Gustavo S. Oderich, MD, Thomas C. Bower, MD, Timothy.

Georgios Vourliotakis, MD, PhD, Montse Blanch, MD, Clark J

Endovascular treatment of a hepatic artery pseudoaneurysm associated with gastrointestinal tract bleeding Tryfon Vainas, MD, PhD, Elisabeth Klompenhouwer,

Management of aneurysms involving branches of the celiac and superior mesenteric arteries: A comparison of surgical and endovascular therapy Ulka Sachdev,

Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia Lindsay Gates, MD, Jason A.

Laurent Chiche, MD, Edouard Kieffer, MD Journal of Vascular Surgery

Endovascular treatment of atherosclerotic popliteal artery disease based on dynamic angiography findings Chaoyi Cui, MD, PhD, Xintian Huang, MD, Xiaobing.

Marc L. Schermerhorn, MD, Kristina A. Giles, MD, Allen D

Outcomes of reoperative open or endovascular interventions to treat patients with failing open mesenteric reconstructions for mesenteric ischemia Karina.

Revascularization of acute mesenteric ischemia after creation of a dedicated multidisciplinary center Arnaud Roussel, MD, Yves Castier, MD, PhD, Alexandre.

Sadaf S. Ahanchi, MD, Christopher L. Stout, MD, Tyler J

Atherectomy offers no benefits over balloon angioplasty in tibial interventions for critical limb ischemia Kevin E. Todd, BS, Sadaf S. Ahanchi, MD, Christian.

Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia Panagiotis Kougias, MD, Donald Lau, BS,

Toshifumi Kudo, MD, PhD, Fiona A. Chandra, Samuel S. Ahn, MD

Hybrid management of ruptured isolated superior mesenteric artery dissecting aneurysm Yoshikatsu Nomura, MD, Masato Yamaguchi, MD, Atsushi Kitagawa,

Efficacy of stent-supported subintimal angioplasty in the treatment of long iliac artery occlusions Young-Guk Ko, MD, Sanghoon Shin, MD, Kwang Joon Kim,

Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery Sang-Il Min, MD, Kyung-Chul Yoon, MD,

Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: Long-term results Jean-Paul P.M. de Vries,

Ramyar Gilani, MD, Roy K. Greenberg, MD, Douglas R. Johnston, MD

Isolated celiac artery dissection

Severe visceral ischemia and death after multilayer stent deployment for the treatment of a thoracoabdominal aortic aneurysm Rafael Noronha Cavalcante,

Endovascular management of superior mesenteric artery pseudoaneurysm

Ryan M. Gobble, MD, Eliott R. Brill, MD, Caron B

Sybren M. M. Robijn, Jantien C. Welleweerd, MD, Rob T. H

A modern series of acute aortic occlusion

Massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm duodenum fistula Jichun Zhao, MD, PhD Journal of Vascular.

Isolated spontaneous dissection of the superior mesenteric artery treated by percutaneous stent placement: Case report Ivan B. Casella, MD, Maria A.

Jade S. Hiramoto, MD, Catherine K. Chang, MD, Linda M

André S. van Petersen, MD, Bianca H. Vriens, MD, Ad B

Endovascular repair of an acute blunt popliteal artery injury

Outcome after celiac artery coverage during endovascular thoracic aortic aneurysm repair: Preliminary results Sarat K. Vaddineni, MD, Steve M. Taylor,

Sybren M. M. Robijn, Jantien C. Welleweerd, MD, Rob T. H

Fenestrated endovascular repair for juxtarenal aortic pathology

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

Differences in anatomy and outcomes in patients treated with open mesenteric revascularization before and after the endovascular era Evan J. Ryer, MD,

The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: A 10-year experience Toshifumi Kudo, MD, PhD,

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia Bram Fioole, MD, PhD, Hendrik.

Presentation transcript:

Retrograde open mesenteric stenting for acute mesenteric ischemia Juliette T.M. Blauw, MD, Robert Meerwaldt, MD, PhD, Marjolein Brusse-Keizer, PhD, Jeroen J. Kolkman, MD, PhD, Dick Gerrits, MD, Robert H. Geelkerken, MD, PhD Journal of Vascular Surgery Volume 60, Issue 3, Pages 726-734 (September 2014) DOI: 10.1016/j.jvs.2014.04.001 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Flow chart of final treatment of patients with suspected chronic mesenteric ischemia (CMI) or acute mesenteric ischemia (AMI). Initially 54 patients underwent percutaneous mesenteric artery stenting (PMAS), but four patients underwent retrograde open mesenteric stenting (ROMS) afterward because of the clinical presentation. PTA, Percutaneous transluminal angioplasty. Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Flow chart of treatment of patients with suspected acute mesenteric ischemia (AMI). A-on-C, Acute on chronic mesenteric ischemia; CRP, C-reactive protein; CTA, computed tomography angiography; PMAS, percutaneous mesenteric artery stenting; ROMS, retrograde open mesenteric stenting; WBC, white blood cell count. Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 A hand-injected retrograde lateral angiogram. CA, Celiac artery; SMA, superior mesenteric artery. Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Retrograde completion angiogram after placement of a superior mesenteric artery (SMA) self-expandable stent. During the stay of the 6F sheath, there is no flow distally through the SMA. The celiac artery (CA) balloon-expandable stent was placed percutaneously. Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 The recanalization of the superior mesenteric artery (SMA) was unintentionally partially extraluminal, with formation of a false aneurysm around the balloon-expandable stent. Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 6 Overall mortality after retrograde open mesenteric stenting (ROMS). Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 7 Primary and primary assisted patency of retrograde open mesenteric stenting (ROMS). Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 8 Clinical success after retrograde open mesenteric stenting (ROMS). Journal of Vascular Surgery 2014 60, 726-734DOI: (10.1016/j.jvs.2014.04.001) Copyright © 2014 Society for Vascular Surgery Terms and Conditions