AI Article Synopsis
- A 62-year-old woman with abdominal issues was found to have an occlusion (blockage) in the superior mesenteric artery (SMA) that was supplied by an alternative pathway called the Arc of Buhler.
- Standard endovascular techniques weren't successful in treating the blockage, but a specialized procedure using a guidewire allowed doctors to reach and treat the occlusion.
- Following the procedure, the patient reported complete resolution of her symptoms, highlighting that this retrograde revascularization approach is effective for SMA occlusions.
Article 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.
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| http://dx.doi.org/10.1177/17085381241289485 | DOI Listing |
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Article Synopsis
- A 62-year-old woman with abdominal issues was found to have an occlusion (blockage) in the superior mesenteric artery (SMA) that was supplied by an alternative pathway called the Arc of Buhler.
- Standard endovascular techniques weren't successful in treating the blockage, but a specialized procedure using a guidewire allowed doctors to reach and treat the occlusion.
- Following the procedure, the patient reported complete resolution of her symptoms, highlighting that this retrograde revascularization approach is effective for SMA occlusions.
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