Jejunal arterial access for retrograde mesenteric stenting

Brian F. Gilmore, Charles Fang, Megan C. Turner, Uttara P. Nag, Ryan Turley, Richard L. McCann, Mitchell W. Cox

Research output: Contribution to journalArticlepeer-review

Abstract

Endovascular approaches have replaced open surgical revascularization in most patients with mesenteric ischemia; however, flush ostial occlusions may not be amenable to traditional antegrade access. Retrograde mesenteric stenting has been previously described, but this technique requires a formal laparotomy and dissection of the proximal superior mesenteric artery. We present here a modification of this technique that requires only a “mini-laparotomy” and no open vascular repair of the superior mesenteric artery as well as a review of our initial institutional experience with this procedure. Our approach differs from previously described work by minimizing mesenteric dissection, avoiding the need for repair of an arteriotomy, and limiting the size of the laparotomy incision in this population of profoundly comorbid patients.

Original languageEnglish (US)
Pages (from-to)1613-1617
Number of pages5
JournalJournal of vascular surgery
Volume67
Issue number5
DOIs
StatePublished - May 2018
Externally publishedYes

Keywords

  • Mesenteric ischemia
  • Mesenteric vascular disease
  • Minimally invasive techniques
  • Retrograde SMA stent

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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