2014•EJVES ExtraOpen access

Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk

Max V. Wohlauer, Hicham Kobeiter, Pascal Desgranges, J.-P. Becquemin, Frédéric Cochennec

Abstract

INTRODUCTION: Chronic mesenteric ischemia (CMI) is a challenging problem, with revascularization the mainstay of treatment. Management of CMI is especially challenging in the patient with superior mesenteric artery (SMA) and celiac artery (CA) occlusions. REPORT: We report a case series of four patients with chronic mesenteric ischemia who were not candidates for CA or SMA revascularization who were successfully treated with inferior mesenteric artery (IMA) angioplasty and stent placement to improve collateral circulation and palliate symptoms. DISCUSSION: To our knowledge, this is the largest case series to date reporting the use of an IMA stent to improve collateral circulation in patients with CMI.

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Key concepts: Medicine, Superior mesenteric artery, Inferior mesenteric artery, Revascularization, Collateral circulation, Celiac artery, SMA*, Mesenteric ischemia