Endovascular treatment of an acute superior mesenteric artery occlusion following failed surgical embolectomy.
OBJECTIVE
To present the successful primary stenting of a superior mesenteric artery (SMA) occlusion following failed surgical embolectomy.


METHODS
A 65-year-old woman with a history of atrial fibrillation underwent surgical embolectomy of an acute embolic occlusion of the superior mesenteric artery (SMA). The following day, symptom recurrence suggested reocclusion, which was confirmed with emergent arteriography. Two balloon-expandable stents were deployed primarily, which ameliorated the patient's symptoms. Follow-up angiography at 3 months showed continued SMA patency, with no evidence of distal embolization or restenosis. The patient remains asymptomatic at 9 months after the stent procedure.


CONCLUSIONS
Although more experience is required, primary stenting may be a valuable alternative in the treatment of acute SMA occlusions, in particular, for reocclusions after failed surgery.
Yilmaz
Saim
S
Department of Radiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey. Saim@me.akdeniz.edu.tr
Gürkan
Alihan
A
Erdoğan
Okan
O
Sindel
Timur
T
Ceken
Kağan
K
Lüleci
Ersin
E
D000368:Aged; D000800:Angioplasty, Balloon; D017128:Embolectomy; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000628:therapy*; D012086:Reoperation; D017211:Treatment Failure