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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Open thrombectomy, patch angioplasty, and retrograde stenting for isolated superior mesenteric artery dissection
Yuchi Ma1,2, Bright Benfor1, Shrishiv Timbalia1
1Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX.
Summary
Isolated superior mesenteric artery dissection, a rare condition, typically avoids surgery. This case highlights a hybrid approach for complicated dissections with potential bowel ischemia.
Area of Science:
- Vascular Surgery
- Gastrointestinal Surgery
- Interventional Radiology
Background:
- Isolated superior mesenteric artery dissection (SMAD) is rare, usually managed nonoperatively.
- Bowel ischemia necessitates surgical intervention in SMAD cases.
- Treatment options for complicated SMAD are limited.
Observation:
- A patient presented with complicated isolated superior mesenteric artery dissection.
- The dissection did not involve the aorta.
- Signs of potential bowel ischemia were present.
Findings:
- A hybrid approach was successfully employed for treatment.
- This involved a combination of endovascular and open surgical techniques.
- The hybrid strategy effectively managed the complicated dissection.
Implications:
- Hybrid approaches offer a viable alternative for complex SMAD cases.
- This strategy may improve outcomes in patients with impending bowel ischemia.
- Further research into hybrid techniques for SMAD is warranted.
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