title: Percutaneous retrograde recanalization of an occluded celiac artery complicating acute aortic dissection.
abstract: A 79-year-old woman with a complaint of persistent upper abdominal pain was admitted to our hospital for the treatment of thrombosed acute type B aortic dissection. Computed tomography showed the complete static occlusion of the celiac artery. Because of progressive symptom with elevation of liver enzymes and metabolic acidosis 11 h after admission, endovascular revascularization was attempted on an emergent basis. After a failed catheterization of the celiac ostium in an antegrade fashion due to a hard occlusion, we succeeded in a retrograde recanalization through the pancreaticoduodenal arcade via the superior mesenteric artery with stent placement using a pull-through technique. This technique is useful and safe when an antegrade approach seems difficult.
authors.affiliation: a Department of Radiology , Hyogo Brain and Heart Center , Himeji , Japan.
authors.forename: Haruka
authors.initials: H
authors.lastname: Oki
authors.affiliation: a Department of Radiology , Hyogo Brain and Heart Center , Himeji , Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Kawasaki
authors.affiliation: b Department of Radiology and Center for Endovascular Therapy , Kobe University Graduate School of Medicine , Kobe , Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D002445:Celiac Artery; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed
keywords: Aortic dissection; celiac artery; occlusion; retrograde recanalization; stent placement