Jejunal arterial access for retrograde mesenteric stenting.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Gilmore, BF; Fang, C; Turner, MC; Nag, UP; Turley, R; McCann, RL; Cox, MW

Published Date

  • May 2018

Published In

Volume / Issue

  • 67 / 5

Start / End Page

  • 1613 - 1617

PubMed ID

  • 29567024

Pubmed Central ID

  • 29567024

Electronic International Standard Serial Number (EISSN)

  • 1097-6809

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2017.12.041

Language

  • eng

Conference Location

  • United States