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  • Retrograde open superior mesenteric artery stenting: a novel approach to managing occluded ilio-superior mesenteric artery grafts

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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Case report
Retrograde open superior mesenteric artery stenting: a novel approach to managing occluded ilio-superior mesenteric artery grafts
  1. Michael G Fadel1 and
  2. Brian Andrews2
  1. 1 Surgery, Chelsea and Westminster Hospital, London, UK
  2. 2 Surgery, Medway Maritime Hospital, Gillingham, UK
  1. Correspondence to Michael G Fadel; michael.fadel{at}ucl.ac.uk

Abstract

Acute mesenteric ischaemia (AMI) can be treated either by open bypass grafting or occasionally by antegrade endovascular stenting. We present a patient with symptoms of AMI, in the early postoperative period, following thrombosis of an iliac to superior mesenteric bypass to treat chronic mesenteric ischaemia. A hybrid technique combining open surgery with a retrograde endovascular approach was performed. This allowed for direct visualisation of the bowel and immediate revascularisation of the mesenteric circulation.

  • vascular surgery
  • radiology

http://dx.doi.org/10.1136/bcr-2019-233500

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    Footnotes

    • Contributors MGF performed the data collection and analysis, and writing of the manuscript. BA performed the procedure and revision of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Next of kin consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.