Successful recanalization of chronic total occlusion of the superior mesenteric artery by transradial approach.
It is a challenge to confirm chronic mesenteric ischemia (CMI) as a cause of gastrointestinal (GI) symptoms such as postprandial epigastric bloating, anorexia, and debilitating weight loss. Endovascular intervention for CMI has been gaining popularity because of the high morbidity associated with surgical revascularization. However, in EVI for superior mesenteric artery (SMA) occlusion, the transfemoral approach is limited by difficulty in coaxial alignment of the guiding catheter, which leads to insufficient back-up support. Herein, we report on a 58-year-old male patient with chronic total occlusion of the SMA, which was successfully revascularized by endovascular intervention via the left radial artery. Transradial endovascular therapy may be another treatment option for the treatment of CMI.
Kim
Woo Taek
WT
Wonju College of Medicine, Yonsei University, Korea.
Ahn
Sung Gyun
SG
Lee
Jun-Won
JW
Sung
Joong Kyung
JK
Lee
Seung Hwan
SH
Yoon
Junghan
J
D003251:Constriction, Pathologic; D006801:Humans; D007511:Ischemia / Q000473:pathology; D008297:Male; D017538:Mesenteric Artery, Superior / Q000503:physiopathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000601:surgery* / Q000628:therapy; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome