Technique of recanalization of long-segment flush superior mesenteric artery occlusions

Rafael D. Malgor, Gustavo Oderich

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: To describe technical tips for recanalization of long-segment flush superior mesenteric artery (SMA) occlusions. Technique: Ultrasound-guided left brachial artery access was gained in 2 patients with a 7F 90-cm sheath being advanced to the supraceliac aorta. The SMA stump was visualized using a selective inferior mesenteric artery (IMA) catheterization via femoral approach. A combination of a 7F 100-cm Multipurpose (MPA) guide and a 5F 125-cm MPA catheter was utilized to provide support for selective catheterization. Subsequently, a 0.018-inch wire and catheter were advanced crossing the area of occlusion. Predilatation was performed, followed by placement of covered stent. Both patients had uncomplicated course and resolution of symptoms. Conclusion: Flush SMA occlusions are challenging lesions but may be treated by antegrade percutaneous recanalization with good results. Technical aspects that facilitate recanalization include brachial approach, use of a stiff system (sheath, guide, and catheter) and concomitant injection to facilitate visualization of the SMA stump.

Original languageEnglish (US)
Pages (from-to)733-737
Number of pages5
JournalVascular and Endovascular Surgery
Volume45
Issue number8
DOIs
StatePublished - Nov 1 2011

Fingerprint

Superior Mesenteric Artery
Catheters
Catheterization
Inferior Mesenteric Artery
Brachial Artery
Thigh
Stents
Aorta
Arm
Injections

Keywords

  • endovascular
  • occlusion
  • recanalization
  • superior mesenteric artery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Technique of recanalization of long-segment flush superior mesenteric artery occlusions. / Malgor, Rafael D.; Oderich, Gustavo.

In: Vascular and Endovascular Surgery, Vol. 45, No. 8, 01.11.2011, p. 733-737.

Research output: Contribution to journalArticle

@article{ed629b481ef0416da103c7f36f71fa63,
title = "Technique of recanalization of long-segment flush superior mesenteric artery occlusions",
abstract = "Purpose: To describe technical tips for recanalization of long-segment flush superior mesenteric artery (SMA) occlusions. Technique: Ultrasound-guided left brachial artery access was gained in 2 patients with a 7F 90-cm sheath being advanced to the supraceliac aorta. The SMA stump was visualized using a selective inferior mesenteric artery (IMA) catheterization via femoral approach. A combination of a 7F 100-cm Multipurpose (MPA) guide and a 5F 125-cm MPA catheter was utilized to provide support for selective catheterization. Subsequently, a 0.018-inch wire and catheter were advanced crossing the area of occlusion. Predilatation was performed, followed by placement of covered stent. Both patients had uncomplicated course and resolution of symptoms. Conclusion: Flush SMA occlusions are challenging lesions but may be treated by antegrade percutaneous recanalization with good results. Technical aspects that facilitate recanalization include brachial approach, use of a stiff system (sheath, guide, and catheter) and concomitant injection to facilitate visualization of the SMA stump.",
keywords = "endovascular, occlusion, recanalization, superior mesenteric artery",
author = "Malgor, {Rafael D.} and Gustavo Oderich",
year = "2011",
month = "11",
day = "1",
doi = "10.1177/1538574411418011",
language = "English (US)",
volume = "45",
pages = "733--737",
journal = "Vascular and Endovascular Surgery",
issn = "1538-5744",
publisher = "SAGE Publications Inc.",
number = "8",

}

TY - JOUR

T1 - Technique of recanalization of long-segment flush superior mesenteric artery occlusions

AU - Malgor, Rafael D.

AU - Oderich, Gustavo

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Purpose: To describe technical tips for recanalization of long-segment flush superior mesenteric artery (SMA) occlusions. Technique: Ultrasound-guided left brachial artery access was gained in 2 patients with a 7F 90-cm sheath being advanced to the supraceliac aorta. The SMA stump was visualized using a selective inferior mesenteric artery (IMA) catheterization via femoral approach. A combination of a 7F 100-cm Multipurpose (MPA) guide and a 5F 125-cm MPA catheter was utilized to provide support for selective catheterization. Subsequently, a 0.018-inch wire and catheter were advanced crossing the area of occlusion. Predilatation was performed, followed by placement of covered stent. Both patients had uncomplicated course and resolution of symptoms. Conclusion: Flush SMA occlusions are challenging lesions but may be treated by antegrade percutaneous recanalization with good results. Technical aspects that facilitate recanalization include brachial approach, use of a stiff system (sheath, guide, and catheter) and concomitant injection to facilitate visualization of the SMA stump.

AB - Purpose: To describe technical tips for recanalization of long-segment flush superior mesenteric artery (SMA) occlusions. Technique: Ultrasound-guided left brachial artery access was gained in 2 patients with a 7F 90-cm sheath being advanced to the supraceliac aorta. The SMA stump was visualized using a selective inferior mesenteric artery (IMA) catheterization via femoral approach. A combination of a 7F 100-cm Multipurpose (MPA) guide and a 5F 125-cm MPA catheter was utilized to provide support for selective catheterization. Subsequently, a 0.018-inch wire and catheter were advanced crossing the area of occlusion. Predilatation was performed, followed by placement of covered stent. Both patients had uncomplicated course and resolution of symptoms. Conclusion: Flush SMA occlusions are challenging lesions but may be treated by antegrade percutaneous recanalization with good results. Technical aspects that facilitate recanalization include brachial approach, use of a stiff system (sheath, guide, and catheter) and concomitant injection to facilitate visualization of the SMA stump.

KW - endovascular

KW - occlusion

KW - recanalization

KW - superior mesenteric artery

UR - http://www.scopus.com/inward/record.url?scp=84856006652&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84856006652&partnerID=8YFLogxK

U2 - 10.1177/1538574411418011

DO - 10.1177/1538574411418011

M3 - Article

VL - 45

SP - 733

EP - 737

JO - Vascular and Endovascular Surgery

JF - Vascular and Endovascular Surgery

SN - 1538-5744

IS - 8

ER -