Percutaneous retrograde recanalization of an occluded celiac artery complicating acute aortic dissection |
| |
Authors: | Haruka Oki Ryota Kawasaki Koji Sugimoto |
| |
Affiliation: | 1. Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan;2. Department of Radiology and Center for Endovascular Therapy, Kobe University Graduate School of Medicine, Kobe, Japan |
| |
Abstract: | A 79-year-old woman with a complaint of persistent upper abdominal pain was admitted to our hospital for the treatment of thrombosed acute type B aortic dissection. Computed tomography showed the complete static occlusion of the celiac artery. Because of progressive symptom with elevation of liver enzymes and metabolic acidosis 11?h after admission, endovascular revascularization was attempted on an emergent basis. After a failed catheterization of the celiac ostium in an antegrade fashion due to a hard occlusion, we succeeded in a retrograde recanalization through the pancreaticoduodenal arcade via the superior mesenteric artery with stent placement using a pull-through technique. This technique is useful and safe when an antegrade approach seems difficult. |
| |
Keywords: | Aortic dissection celiac artery occlusion retrograde recanalization stent placement |
|
|