Treatment of symptomatic isolated dissection of superior mesenteric artery Zhihui Dong, MD, Weiguo Fu, MD, Bin Chen, MD, Daqiao Guo, MD, Xin Xu, MD, Yuqi.

Slides:

Advertisements

Similar presentations

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection

Advertisements

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification Dong-lin Li, MD, Yang-yan.

A case of atherosclerotic inferior mesenteric artery aneurysm secondary to high flow state Nicola Troisi, MD, Giovanni Esposito, MD, Pietro Cefalì, MD,

Hemodynamic evaluation using four-dimensional flow magnetic resonance imaging for a patient with multichanneled aortic dissection Baolei Guo, MD, PhD,

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

Preloaded guidewires to facilitate endovascular repair of thoracoabdominal aortic aneurysm using a physician-modified branched stent graft Gustavo S.

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

Endovascular repair of an aortic arch pseudoaneurysm by an atrial septal defect occluder combined with a chimney stent Guangqi Chang, MD, Wei Chen, MD,

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients Joseph.

Multidetector Computed Tomography of Superior Mesenteric Artery: Anatomy and Pathologies Yan E. Zhao, MD, Zhen Jane Wang, MD, Chang Sheng Zhou, BS, Fei.

Technical aspects, current indications, and results of chimney grafts for juxtarenal aortic aneurysms Raphael Coscas, MD, Hicham Kobeiter, MD, Pascal.

Novel technique for endovascular salvage of a folded aortic endograft

Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm Giuseppe Baldino, MD, Paolo Mortola,

Endovascular repair of Stanford B aortic dissection using two stent grafts with different sizes Xiaoyong Huang, MD, Lianjun Huang, MD, Lizhong Sun, MD,

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling Qian-qian Zhu, MD, Dong-lin Li, MD, Ming-chun Lai,

Xiaobai Wang, MD, Yan Zhang, MD, Chengzhi Li, MD, Hong Zhang, MD

Laparoscopic management of celiac artery compression syndrome

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

True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report Donald L. Jacobs, MD, Raghunandan.

Clinical and radiologic course of symptomatic spontaneous isolated dissection of the superior mesenteric artery treated with conservative management

Physician modification of Gore C3 excluder endograft for treatment of abdominal aortic aneurysms anatomically unsuitable for conventional endovascular.

Therapeutic management of superior mesenteric artery aneurysms

Absence of proximal neck dilatation and graft migration after endovascular aneurysm repair with balloon-expandable stent-based endografts Mahmoud B.

Middle mesenteric artery arising from an inflammatory infrarenal aortic aneurysm Andrea M. Dirrigl, MD, Alexander Zimmermann, MD, Stefan Ockert, MD, Hans-Henning.

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

Midterm results from a physician-sponsored investigational device exemption clinical trial evaluating physician-modified endovascular grafts for the treatment.

Simplified hybrid repair with true lumen recycling for retrograde renovisceral perfusion in a complex chronic aortic dissection Ricardo Castro-Ferreira,

Chimney grafts preserve visceral flow and allow safe stenting of juxtarenal aortic occlusion Adel Bin Jabr, MD, Björn Sonesson, MD, PhD, Bengt Lindblad,

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection

Options for treatment of spontaneous mesenteric artery dissection

Efficacy and durability of the chimney graft technique in urgent and complex thoracic endovascular aortic repair Adel Bin Jabr, MD, Bengt Lindblad, MD,

Superficial femoral artery transposition repair for isolated superior mesenteric artery dissection Jean Picquet, MD, Oscar Abilez, MD, Julien Pénard,

Total Viabahn endoprosthesis collapse

Diseases of the thoracic aorta in women

Vladimir Neychev, MD, PhD, Emilia Krol, MD, Alan Dietzek, MD

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification Dong-lin Li, MD, Yang-yan.

Paraplegia prevention branches: A new adjunct for preventing or treating spinal cord injury after endovascular repair of thoracoabdominal aneurysms Christos.

Stent graft-induced new entry after endovascular repair for Stanford type B aortic dissection Zhihui Dong, MD, Weiguo Fu, MD, Yuqi Wang, MD, Chunsheng.

Acute iatrogenic type A aortic dissection following thoracic aortic endografting Gabriele Piffaretti, MD, Giovanni Mariscalco, MD, PhD, Matteo Tozzi,

The kissing-stent technique for treatment of distal aortic stenosis and protection of the inferior mesenteric artery orifice Marissa Toma, MD, Angelo.

Placement of a branched stent graft into the false lumen of a chronic type B aortic dissection Dominic Simring, FRACS (Vasc), Jowad Raja, MRCS, FRCR,

Repair of recurrent visceral aortic patch aneurysm after thoracoabdominal aortic aneurysm repair with a branched endovascular stent graft Donald J. Adam,

Double-chimney technology for treating secondary type I endoleak after endovascular repair for complicated thoracic aortic dissection Rui Feng, MD, PhD,

Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration Suzanne M. Slonim, MD, Ulf Nyman,

Endovascular repair of extent I thoracoabdominal aneurysms with landing zone extension into the aortic arch and mesenteric portion of the abdominal aorta

Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Olivier Hartung,

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

Fenestrated and branched endovascular aortic repair for chronic type B aortic dissection with thoracoabdominal aneurysms Atsushi Kitagawa, MD, Roy K.

Thomas J. Takach, MD, Jeko M. Madjarov, MD, Jeremiah H

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

Isolated celiac artery dissection

Endovascular management of superior mesenteric artery pseudoaneurysm

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

Lefeng Qu, MD, PhD, Zaiping Jing, MD, PhD, Rui Feng, MD, PhD

F. Gao, J. Chen, J. Guan, Q. Zeng, F.M. Lin EJVES Extra

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

Pregnancy-Associated Type B Aortic Dissection Treated With Thoracic Endovascular Aneurysm Repair Chang Shu, MD, PhD, Kun Fang, MD, Alan Dardik, MD, PhD,

New operative method for acute type B dissection: Left carotid artery–left subclavian artery bypass combined with endovascular stent-graft implantation

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

Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD

The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD,

Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire Drosos Kotelis, MD, Ruben Lopez-Benitez,

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

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder Guangqi Chang, MD, Huishen Wang, MD, Wei Chen, MD, Chen Yao,

Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection Neal R.

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction Apostolos T. Mamopoulos, MD, Thomas.

Repair of superior mesenteric artery bypass pseudoaneurysm with physician-modified fenestrated aortic endograft Tahlia L. Weis Sadoski, MD, PhD, Claudio.

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

Presentation transcript:

Treatment of symptomatic isolated dissection of superior mesenteric artery Zhihui Dong, MD, Weiguo Fu, MD, Bin Chen, MD, Daqiao Guo, MD, Xin Xu, MD, Yuqi Wang, MD Journal of Vascular Surgery Volume 57, Issue 2, Pages 69S-76S (February 2013) DOI: 10.1016/j.jvs.2012.07.060 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 In patient 4, (A) Riolan's arch (three long arrows) was perfused from the inferior mesenteric artery (IMA, short arrow). B, The primary entry site (arrow) was located 30 mm distal to the origin of superior mesenteric artery (SMA) with the true lumen highly compressed by the false one and impaired perfusion of distal SMA and its main branches. C, A stent (Maris 6 × 80 mm; Invatec, Brescia, Italy) was placed via the brachial artery after failure in the attempted femoral approach. However, the stent had foreshortened during deployment, causing inadequate proximal landing and endoleak (short arrow). Meanwhile, it was noted that the Riolan's arch disappeared with only IMA (long arrow) opacified. D, An additional stent (Maris 6 × 40 mm) was then deployed more proximally with its proximal end (short arrow) a little bit protruding into the abdominal aorta, and endoleak vanished. The IMA (long arrow) could still be visualized, whereas Riolan's arch could not. E and F, The follow-up computed tomographic angiography (CTA) at 16 months revealed patent stent and satisfactory perfusion of SMA and its main branches. Journal of Vascular Surgery 2013 57, 69S-76SDOI: (10.1016/j.jvs.2012.07.060) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig. 2 In patient 10, the preoperative computed tomographic angiography (CTA) showed (A) the true lumen (short arrow) slightly compressed by the thrombosed false lumen (long arrow) at the proximal portion of superior mesenteric artery (SMA) and (B) the true lumen (short arrow) highly compressed by the patent false lumen (long arrow) at the middle segment of SMA. C, The middle portion (arrow) of SMA appeared big in diameter, however, the majority of the opacified area was the false lumen rather than the true one, underlying a few branches opacified and the distal perfusion significantly impaired. Intraoperatively, (D) the exploration found the pallor of the distal ileum (left side of the arrow) and (H) after the middle segment of SMA was transected, two lumens were disclosed, the small true lumen (short arrow) and the big false lumen (long arrow). The follow-up CTA at 1 month demonstrated (E) at the proximal portion of SMA, the true (short arrow) and false lumens (long arrow) remained unchanged. F, At the middle segment immediately distal to the surgical fenestration, the false lumen was eliminated, and the true lumen (arrow) was dramatically expanded. G, The proximal segment of SMA was expanded compared with the preoperative CTA (C), the middle portion (arrow) appeared unchanged in diameter; nevertheless, it was the true lumen that was opacified, rather than the false lumen, underlying much more branches visualized and the distal perfusion markedly improved. Journal of Vascular Surgery 2013 57, 69S-76SDOI: (10.1016/j.jvs.2012.07.060) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig. 3 Treatment algorithm for symptomatic isolated dissection of superior mesenteric artery (SIDSMA). Journal of Vascular Surgery 2013 57, 69S-76SDOI: (10.1016/j.jvs.2012.07.060) Copyright © 2013 Society for Vascular Surgery Terms and Conditions