title: LASER endovascular atherectomy with secondary stenting of technically challenging calcified celiac trunk stenosis.
abstract: Endovascular therapy for chronic mesenteric ischemia is a proven, feasible alternative approach to open surgical repair with significantly lower morbidity and mortality. A clinical dilemma is encountered when technically challenging lesions are encountered during the procedure. We present here an 86 year-old woman who had intractable abdominal pain with postprandial exacerbation. The patient had successful endovascular light amplification by stimulated emission of radiation atherectomy of a highly calcified celiac truck, showing the feasibility of this technique.
authors.affiliation: Division of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. yasiryaqub@yahoo.com
authors.forename: Yasir
authors.initials: Y
authors.lastname: Yaqub
authors.forename: Jose
authors.initials: J
authors.lastname: Suarez
authors.forename: Leigh Ann
authors.initials: LA
authors.lastname: Jenkins
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D017073:Atherectomy / Q000295:instrumentation* / Q000379:methods*; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D007834:Lasers; D065666:Mesenteric Ischemia; D010148:Intractable Pain / Q000209:etiology; D011859:Radiography; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*