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Percutaneous retrograde revascularization of the occluded celiac artery for chronic mesenteric ischemia using intravascular ultrasound guidance

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Abstract

A 47-year-old male presented with a triad of postprandial abdominal pain, food fear and significant weight loss since 1 year suggestive of chronic mesenteric ischemia. CT angiogram revealed chronic total occlusion of the celiac artery (CA), inferior mesenteric artery and 80–90 % stenosis of the proximal superior mesenteric artery (SMA). After SMA stenting, successful retrograde recanalisation of chronically occluded CA through pancreatico-duodenal arcade using intravascular ultrasound (IVUS) guidance was done when standard tools failed. The role of IVUS in such challenging lesions is described in the following case report.

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Authors and Affiliations

  1. Department of Cardiology, GB Pant Hospital, New Delhi, India

    Gagan Jain, Bhagya Narayan Pandit, Mayank Goyal & Vijaya Kumar Trehan

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  1. Gagan Jain
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  2. Bhagya Narayan Pandit
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  3. Mayank Goyal
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  4. Vijaya Kumar Trehan
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Correspondence to Gagan Jain.

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Jain, G., Pandit, B.N., Goyal, M. et al. Percutaneous retrograde revascularization of the occluded celiac artery for chronic mesenteric ischemia using intravascular ultrasound guidance. Cardiovasc Interv and Ther 28, 307–312 (2013). https://doi.org/10.1007/s12928-013-0167-y

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  • DOI: https://doi.org/10.1007/s12928-013-0167-y

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