Work

Advanced Percutaneous Endovascular Techniques for the Treatment of Acute Bowel Ischemia—Retrograde Endovascular Recanalization and Lithotripsy-Assisted Angioplasty: Case Report

Year: 2025

Type: article

Abstract: Background: Acute bowel ischemia that develops secondarily to thrombotic occlusion of the superior mesenteric artery is a life-threatening abdominal emergency. Although an open surgical repair is still the main treatment modality for this pathology, percutaneous endovascular revascularization is currently recognized as an alternative therapeutic option. However, in some patients, endovascular repair of the occluded superior mesenteric artery is technically very challenging. Case description: We provide technical details of percutaneous endovascular revascularization of the superior mesenteric artery in a patient presenting with highly calcified plaques extending to the aortic wall, with an associated risk of the aortic wall rupturing after standard balloon angioplasty. The patient was managed using the lithotripsy-assisted angioplasty, in order to minimize the risk of aortic injury. Conclusion: During endovascular reconstruction of the superior mesenteric artery for acute bowel ischemia, on the one hand, a full revascularization of the ischemic bowel should be achieved. On the other hand, the procedure should not be too aggressive. In this technical note, we demonstrated that even very difficult cases can be successfully managed endovascularly, if a tailored approach is used and proper endovascular devices are applied.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm14093014

Authors: Paweł Latacz, Tadeusz Popiela, Monika Stępień, Marian Simka

Institutions: Jagiellonian University, Szpital Zakonu Bonifratrów św. Jana Grandego w Krakowie, University of Opole

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137