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Related Concept Videos

Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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Arteries, the vasculature responsible for transporting blood from the heart, possess robust walls capable of enduring the elevated pressures exerted by the heartbeat. Arteries near the heart are especially thick-walled and enriched with elastic fibers across their three tunics, classifying them as elastic or conducting arteries. These arteries, usually with a diameter exceeding 10 mm, are characterized by their ability to dilate in response to the blood pumped from the heart's ventricles...
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Arteries of the Upper Limbs01:12

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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The human body is a complex, well-organized machine, and at the heart of its operations lies the circulatory system. This network of blood vessels, which includes systemic arteries, plays a vital role in maintaining life by transporting nutrients, oxygen, and waste products to and from cells throughout the body.
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The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
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Jejunal arterial access for retrograde mesenteric stenting.

Brian F Gilmore1, Charles Fang2, Megan C Turner1

  • 1Department of Surgery, Duke University Medical Center, Durham, NC.

Journal of Vascular Surgery
|March 24, 2018
PubMed
Summary

A modified retrograde mesenteric stenting technique using a mini-laparotomy offers a less invasive option for treating complex mesenteric ischemia. This approach avoids open vascular repair, benefiting high-risk patients.

Keywords:
Mesenteric ischemiaMesenteric vascular diseaseMinimally invasive techniquesRetrograde SMA stent

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Endovascular approaches are preferred for mesenteric ischemia, but flush ostial occlusions pose challenges.
  • Traditional retrograde mesenteric stenting requires extensive laparotomy and proximal superior mesenteric artery dissection.
  • Patients with mesenteric ischemia often have significant comorbidities, increasing surgical risks.

Purpose of the Study:

  • To present a modified retrograde mesenteric stenting technique.
  • To evaluate the initial institutional experience with this minimally invasive approach.
  • To demonstrate a technique minimizing dissection and avoiding open vascular repair for superior mesenteric artery occlusions.

Main Methods:

  • A modified retrograde mesenteric stenting procedure was performed.
  • The technique involved a "mini-laparotomy" instead of a formal laparotomy.
  • Superior mesenteric artery arteriotomy repair was avoided, and mesenteric dissection was minimized.

Main Results:

  • The modified technique was successfully applied.
  • The procedure was associated with a limited laparotomy incision size.
  • This approach is suitable for profoundly comorbid patients with mesenteric ischemia.

Conclusions:

  • A modified retrograde mesenteric stenting technique with mini-laparotomy is feasible.
  • This approach offers a less invasive alternative for complex mesenteric ischemia cases.
  • Minimizing dissection and avoiding open repair enhances safety in high-risk patients.