Percutaneous retrograde recanalization of an occluded celiac artery complicating acute aortic dissection.
Acta Chir Belg
; 117(1): 45-48, 2017 Feb.
Article
in En
| MEDLINE
| ID: mdl-27426665
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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortic Aneurysm
/
Celiac Artery
/
Endovascular Procedures
/
Aortic Dissection
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Acta Chir Belg
Year:
2017
Document type:
Article
Affiliation country:
Japón