中国普通外科杂志2017，Vol.26Issue(6)：699-705,7.DOI:10.3978/j.issn.1005-6947.2017.06.005
经腹腔干-胃十二指肠弓逆向介入治疗肠系膜上动脉开口处完全闭塞无残端病变1例
Retrograde interventional therapy through celiac axis-gastroduodenal collaterals for a patient with flush ostial occlusion and no visible stump of superior mesenteric artery
摘要
Abstract
Objective:To investigate the technique of retrograde stent placement for superior mesenteric artery (SMA)occlusion.Methods:The data of a patient undergoing retrograde recanalization for symptomatic SMA occlusion in February 2017 in the Department of Vascular Surgery of Zhongshan Hospital,Fudan University were reviewed.Results:The patient was a 47-year-old woman,and was diagnosed as chronic mesenteric ischemia (CMI) caused by SMA occlusion,and then underwent endovascular treatment for SMA recanalization.Both brachial artery and femoral artery approaches failed to cross the lesion,due to the complete occlusion and no stump left at the origin of the SMA.Then,the SMA occlusion was revascularized via retrograde crossing through the gastroduodenal collateral pathway between the celiac axis and SMA.After docking with the guidewire,the catheter via brachial artery was anterogradely and uneventfully advanced through the lesion,and then balloon dilation and stent placement were completed.The symptoms of CMI of the patient disappeared after operation,and follow-up CTA performed 3 months later demonstrated appropriate stent positioning and distal vascular patency.Conclusion:For patients with SMA occlusion after failed attempts by conventional interventional approaches,retrograde recanalization through collateral pathway remains feasible.关键词
肠系膜血管闭塞/肠系膜上动脉/血管内操作/侧支循环Key words
Mesenteric Vascular Occlusion/Mesenteric Artery, Superior/Endovascular Procedures/Collateral Circulation分类
医药卫生引用本文复制引用
王桂立,韩思林,王利新..经腹腔干-胃十二指肠弓逆向介入治疗肠系膜上动脉开口处完全闭塞无残端病变1例[J].中国普通外科杂志,2017,26(6):699-705,7.基金项目
国家自然科学基金资助项目(81570438). （81570438）
