title: Hybrid recanalization of superior mesenteric artery occlusion in acute mesenteric ischemia.
abstract: OBJECTIVE
  To describe an alternative hybrid endovascular/open approach to revascularizing the occluded superior mesenteric artery (SMA) in patients with acute ischemia.
  
  
  METHODS
  A laparotomy is performed to assess any visceral ischemia. The SMA is exposed, clamped distally, and cannulated proximally. The SMA occlusion is crossed in a retrograde fashion. Balloon embolectomy or stent implantation may be performed if required. This technique has been used in 6 patients: 2 with acute atherosclerotic occlusion, 1 with thrombotic occlusion and distal emboli, and another 3 in whom the SMA ostium had been covered during placement of a fenestrated stent-graft.
  
  
  CONCLUSIONS
  A hybrid approach to SMA occlusions with retrograde recanalization is feasible. It is of particular use in patients with acute or iatrogenic occlusion and allows assessment of visceral ischemia.
authors.affiliation: Vascular Centre Malmö-Lund, Malmö University Hospital, Malmö, Sweden.
authors.forename: Björn
authors.initials: B
authors.lastname: Sonesson
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Hinchliffe
authors.forename: Nuno V
authors.initials: NV
authors.lastname: Dias
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Resch
authors.forename: Martin
authors.initials: M
authors.lastname: Malina
authors.forename: Krassi
authors.initials: K
authors.lastname: Ivancev
mesh_terms: D000208:Acute Disease; D000792:Angiography; D000800:Angioplasty, Balloon; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000628:therapy*; D011474:Prosthesis Design; D015641:Radiography, Interventional; D015607:Stents; D016896:Treatment Outcome