title: Percutaneous retrograde revascularization of the occluded celiac artery for chronic mesenteric ischemia using intravascular ultrasound guidance.
abstract: A 47-year-old male presented with a triad of postprandial abdominal pain, food fear and significant weight loss since 1 year suggestive of chronic mesenteric ischemia. CT angiogram revealed chronic total occlusion of the celiac artery (CA), inferior mesenteric artery and 80-90 % stenosis of the proximal superior mesenteric artery (SMA). After SMA stenting, successful retrograde recanalisation of chronically occluded CA through pancreatico-duodenal arcade using intravascular ultrasound (IVUS) guidance was done when standard tools failed. The role of IVUS in such challenging lesions is described in the following case report.
authors.affiliation: Department of Cardiology, GB Pant Hospital, New Delhi, India. kirti_kota@yahoo.com
authors.forename: Gagan
authors.initials: G
authors.lastname: Jain
authors.forename: Bhagya Narayan
authors.initials: BN
authors.lastname: Pandit
authors.forename: Mayank
authors.initials: M
authors.lastname: Goyal
authors.forename: Vijaya Kumar
authors.initials: VK
authors.lastname: Trehan
mesh_terms: D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional / Q000379:methods*