title: Tapered self expandable bare stent to treat acute superior mesenteric artery ischemia.
abstract: OBJECTIVE
  This case demonstrates the use of carotid stents in off-label emergency condition where standard self-expandable stents doesn't fit to native artery and balloon-expandable stents could not be also recommended.
  
  
  METHODS
  56 years old patient, EVAR therapy performed 2 months before, suffering acute severe abdominal pain; emergency angioCT showed oclusion of superior mesenteric artery (SMA) and no complications related to previous EVAR. A percutaneuos supraselective trombolysis was performed. After 24 hours control DSA showed partial recanalization and tight stenoses in distal SMA with poor run-off to terminal branches. A 6-8 x 40 mm Carotid Stent (Acculink®, Abbot Vascular) was implanted with good inmediate technical result. After 6 months follow up both SMA and branches remain patent and no further treatment was required.
  
  
  CONCLUSIONS
  tapered self expandable uncovered stents are a good treatment option to achieve better conformability to SMA,and bare metal stents do not compromise side-branches of this artery.
authors: Departamento de Cirurgia Geral do Complexo Hospitalar de Vigo e Departamentos - Radiologia e de Angiologia e Cirurgia Vascular do Complexo Hospitalar de Ourense, Espanha.
authors: Marta
authors: M
authors: Martinez Miguez
authors: Coral
authors: C
authors: Carballo-Fernandez
authors: Nilo
authors: N
authors: Mosquera-Arochena
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology / Q000601:surgery*; D065666:Mesenteric Ischemia / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome