Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Retrograde Endovascular Recanalization of the Superior Mesenteric Artery for the Treatment of Acute Bowel Ischemia: Case Report

Version 1 : Received: 24 January 2024 / Approved: 25 January 2024 / Online: 25 January 2024 (07:12:18 CET)

How to cite: Latacz, P.; Piekorz, P.; Simka, M. Retrograde Endovascular Recanalization of the Superior Mesenteric Artery for the Treatment of Acute Bowel Ischemia: Case Report. Preprints 2024, 2024011796. https://doi.org/10.20944/preprints202401.1796.v1 Latacz, P.; Piekorz, P.; Simka, M. Retrograde Endovascular Recanalization of the Superior Mesenteric Artery for the Treatment of Acute Bowel Ischemia: Case Report. Preprints 2024, 2024011796. https://doi.org/10.20944/preprints202401.1796.v1

Abstract

Objective. Acute bowel ischemia is a life-threatening abdominal emergency. In many patients percutaneous endovascular repair of visceral arteries in an antegrade direction, across occluding plaques is challenging and sometimes not possible. Case Report. We present the case of technically successful percutaneous retrograde recanalization of occluded superior mesenteric artery in ctitically-ill 82-year-old patient. The superior mesenteric artery was recanalized via the branches of the celiac trunk; the guidewires were navigated to the target artery through the gastroduodenal and pancreatoduodenal arteries. Conclusion. Retrograde percutaneous recanalization of the superior mesenteric artery is technically feasible, even in hemodynamically unstable patients.

Keywords

acute bowel ischemia; mesenteric artery occlusion; mesenteric artery stenting; retrograde

Subject

Medicine and Pharmacology, Emergency Medicine

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