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- W4245440496 abstract "Abstract BACKGROUND: Mesenteric ischemia is often a manifestation of severe vascular disease involving the superior mesenteric artery (SMA). Endovascular revascularization is still challenging in a chronic total occlusion (CTO) of SMA. CASE PRESENTATION: An-73-year-old male was referred to our hospital because of a 2-year history of abdominal angina after each meal. Computed tomography (CT) images revealed a heavily calcified CTO in the ostium of SMA. Angiography did not show the collateral route suitable for transcollateral approach (TCA); however, the three-dimension CT detected pancreaticoduodenal arcade from the celiac artery to the occluded SMA. According to CT imaging, transcollateral wire crossing from the celiac artery was successful in the SMA-CTO. After pull-through of the guide wire, two balloon-expandable stents were deployed in the ostium of SMA. During 3 months after the stent implantation, the patient had no further episodes of abdominal angina on dual-anti-platelet therapy CONCLUSIONS: We demonstrated a case of SMA occlusion with heavy calcification treated with stent implantation using TCA guided by CT imaging." @default.
- W4245440496 created "2022-05-12" @default.
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- W4245440496 date "2021-04-19" @default.
- W4245440496 modified "2023-09-29" @default.
- W4245440496 title "Endovascular Revascularization of Heavily Calcified Occlusion in Superior Mesenteric Artery using Transcollateral Approach" @default.
- W4245440496 doi "https://doi.org/10.21203/rs.3.rs-406665/v1" @default.
- W4245440496 hasPublicationYear "2021" @default.
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