Endovascular reconstruction of complex arterial obstructions in the mesenteric arcade with "kissing stents": technical note.
This report describes a technique for advanced endoluminal reconstruction of complex bifurcational arterial obstructions located within the mesenteric arcade deploying applications from percutaneous transluminal coronary artery angioplasty. A patient was treated for persistent mesenteric ischemia during prolonged recovery after initial small bowel resection due to acute mesenteric ischemia. Following endovascular reconstruction of a complex arterial obstruction within the mesenteric arcade, ischemic symptoms subsided quickly and the patient recovered well. According to the literature, this seems to be the first case where such distal reconstruction of the mesenteric arcade has successfully been achieved percutaneously.
Daliri
Armand
A
Klinik für Radiologie und Nuklearmedizin, Klinikum Bad Hersfeld, Seilerweg 29, D-36251 Bad Hersfeld, Germany.
Krause
Ulrich C
UC
Kalinowski
Marc
M
Heverhagen
Johannes
J
Froelich
Jens J
JJ
D000368:Aged; D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D011474:Prosthesis Design; D015641:Radiography, Interventional; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology