title: Endovascular treatment of an acute superior mesenteric artery occlusion following failed surgical embolectomy.
abstract: 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.
authors.affiliation: Department of Radiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey. Saim@me.akdeniz.edu.tr
authors.forename: Saim
authors.initials: S
authors.lastname: Yilmaz
authors.forename: Alihan
authors.initials: A
authors.lastname: Gürkan
authors.forename: Okan
authors.initials: O
authors.lastname: Erdoğan
authors.forename: Timur
authors.initials: T
authors.lastname: Sindel
authors.forename: Kağan
authors.initials: K
authors.lastname: Ceken
authors.forename: Ersin
authors.initials: E
authors.lastname: Lüleci
mesh_terms: 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