Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery.
A 56-year-old man presented with complete occlusion of the superior and inferior mesenteric arteries resulting in chronic mesenteric ischemia. After a minimal angioplasty a Wallstent was inserted across the superior mesenteric artery occlusion. This produced immediate clinical relief, with a successful angiographic result. Eight months later, an intrastent occlusion with acute bowel infarction was treated in emergency by saphenous vein bypass graft. Despite the death of the patient a few days later from a multivisceral failure syndrome, this method seemed to us feasible in treating a chronically occluded SMA in patients with high operative risk.
Senechal
Q
Q
Service de Radiologie et de Chirurgie Vasculaire, Hôpital Saint Joseph, Paris, France.
Massoni
J M
JM
Laurian
C
C
Pernes
J M
JM
D000800:Angioplasty, Balloon; D002908:Chronic Disease; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D015641:Radiography, Interventional; D015607:Stents