Wei Huang, Ke Wang, Yang Liu, Qi-Qi Wang, Hai-Jun Wei, Chun-Shui He
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引用次数: 0
Abstract
Background: To report revascularization of a superior mesenteric artery (SMA) ostial occlusion via the Arc of Buhler.
Case report: A 62-year-old female presented with 2 months of recurrent abdominal distension and postprandial pain. Computed tomography angiography (CTA) revealed ostial occlusion of the SMA with distal perfusion via the Arc of Buhler (connecting the celiac trunk and SMA). Conventional endovascular techniques failed. A 0.014 guidewire was passed retrograde through the occlusion via the Arc of Buhler. The guidewire was captured from the femoral sheath and balloon angioplasty with stent placement was performed. The patient had complete symptom resolution post-procedure.
Conclusions: Retrograde revascularization via the Arc of Buhler is an effective method for treating the initial segment occlusion of the SMA.
期刊介绍：
Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.
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