Abstract
Chronic mesenteric ischemia (CMI) is a rare disorder that is commonly caused by progressive atherosclerotic stenosis or occlusion of one or more mesenteric arteries. Endovascular treatment for symptomatic CMI represents a viable option, especially in high-operative risk patients. We report a case of acute symptomatic CMI with chronic totally occlusion of the superior mesenteric artery (SMA) associated with significant stenosis of celiac trunk (CT) and inferior mesenteric artery (IMA) that underwent endovascular treatment of all the three mesenteric arteries: stenting of CT and IMA stenosis, and recanalization of the SMA occlusion by retrograde crossing via the Villemin arcade.
This is a preview of subscription content, log in via an institution to check access.
References
Schaefer PJ, Shaefer FKW, Muller-Huelsbeck S et al (2007) Chronic mesenteric ischemia: stenting of mesenteric arteries. Abdom Imaging 32(3):304–309
Loffroy R, Guiu B, Cercueil JP et al (2010) Chronic mesenteric ischemia: efficacy and outcome of endovascular therapy. Abdom Imaging 35(3):306–314
Sharafuddin MJ, Nicholson RM, Kresowik TF et al (2012) Endovascular recanalization of total occlusion of the mesenteric and celiac arteries. J Vasc Surg 55(6):1674–1681
Turba UC, Saad WE, Arslan B et al (2012) Chronic mesenteric ischemia: 28-years experience of endovascular treatment. Eur Radiol 22(6):1372–1384
Robken J, Shammas NW (2007) Treatment of totally occluded superior mesenteric artery facilitated by retrograde crossing via collaterals from the celiac artery. J Endovasc Ther 14(5):745–747
Taylor LM Jr, Moneta GL (1991) Intestinal ischemia. Ann Vasc Surg 5(4):403–406
Douard R, Chevallier JM, Delmas V et al (2006) Clinical interest of digestive arterial trunk anastomoses. Surg Radiol Anat 28(3):219–227
Rose SC, Quigley TM, Raker EJ (1995) Revascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transmural angiography. J Vasc Interv Radiol 6(3):339–349
Sarac TP, Altinel O, Kashyap V et al (2008) Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia. J Vasc Surg 47(3):485–491
Conflict of interests
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ferro, C., Rossi, U.G., Seitun, S. et al. Endovascular Treatment of Totally Occluded Superior Mesenteric Artery by Retrograde Crossing via the Villemin Arcade. Cardiovasc Intervent Radiol 36, 848–852 (2013). https://doi.org/10.1007/s00270-012-0469-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-012-0469-y