title: Endovascular recanalization of the superior mesenteric artery in the context of mesenteric bypass graft infection.
abstract: Mesenteric prosthetic graft infection is a rare and challenging clinical scenario. A patient is described who developed recurrent abdominal pain after occlusion of an iliomesenteric prosthetic bypass. Endovascular recanalization of the native superior mesenteric artery, which had been occluded for more than 10 years, was accomplished using axillofemoral through-wire access and a steerable guiding catheter. The infected prosthetic was then explanted and his graft-enteric fistula repaired. Technical and strategic considerations are discussed.
authors: Department of Vascular Therapy, Colorado Permanente Medical Group, Denver, Colo 80205, USA. paul.c.johnston@kp.org
authors: Paul C
authors: PC
authors: Johnston
authors: Aaron F
authors: AF
authors: Guercio
authors: Stephen P
authors: SP
authors: Johnson
authors: H Whitton
authors: HW
authors: Hollis
authors: Charles F
authors: CF
authors: Pratt
authors: Thomas F
authors: TF
authors: Rehring
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D020878:Device Removal; D004378:Duodenal Diseases / Q000209:etiology / Q000601:surgery; D057510:Endovascular Procedures; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D007511:Ischemia / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D065666:Mesenteric Ischemia; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000601:surgery*