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Recorded video case

Step by step isolated aortomesenteric bypass for chronic visceral ischemia

This video summarizes in 3 minutes all important steps to perform an isolated antegrade aortomesenteric bypass. The patient had a chronic occlusion of the superior mesenteric artery and underwent a primary stenting of a high-grade stenosis of the celiac trunk (CT). The endovascular recanalization of the SMA at that time was not feasible. The CT-stent occluded 8 months postimplantation with a complete thrombosis of the hepatic artery as well. The splenic artery arose from the aorta directly.

November 8, 2018 No Comments
Technical note

SMA occlusion: when open, when endo and how?

This presentation includes important clinical and anatomic issues, which play a relevant role in the decision making between open surgical and endovascular treatment of the SMA occlusion. Which technique is appropriate for open surgical revascularization? Which material should be used as bypass or patch? When should you go for an endovascular-first approach? Which kind of stents? Do we have evidence? All these questions are answered in this presentation.

June 16, 2018 No Comments

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