title: Endovascular treatment of totally occluded superior mesenteric artery by retrograde crossing via the Villemin arcade.
abstract: Chronic mesenteric ischemia (CMI) is a rare disorder that is commonly caused by progressive atherosclerotic stenosis or occlusion of one or more mesenteric arteries. Endovascular treatment for symptomatic CMI represents a viable option, especially in high-operative risk patients. We report a case of acute symptomatic CMI with chronic totally occlusion of the superior mesenteric artery (SMA) associated with significant stenosis of celiac trunk (CT) and inferior mesenteric artery (IMA) that underwent endovascular treatment of all the three mesenteric arteries: stenting of CT and IMA stenosis, and recanalization of the SMA occlusion by retrograde crossing via the Villemin arcade.
authors.affiliation: Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital-IST-National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genoa, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ferro
authors.forename: Umberto G
authors.initials: UG
authors.lastname: Rossi
authors.forename: Sara
authors.initials: S
authors.lastname: Seitun
authors.forename: Giulio
authors.initials: G
authors.lastname: Bovio
authors.forename: Rosario
authors.initials: R
authors.lastname: Fornaro
mesh_terms: D000368:Aged; D000792:Angiography; D002908:Chronic Disease; D003097:Collateral Circulation; D003287:Contrast Media; D003937:Diagnosis, Differential; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000601:surgery*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D010975:Platelet Aggregation Inhibitors