New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection
Abstract Background Spontaneous isolated visceral artery dissection is rarely encountered. Endovascular intervention with good outcomes has become popular for patients with persistent symptoms or developing ischemia. We could perform life-saving treatment for a spontaneous isolated superior mesenter...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-04-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-021-00225-7 |
| _version_ | 1818849738833788928 |
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| author | Hidenori Yamaguchi Satoru Murata Tatsuo Ueda Takahiko Mine Shiro Onozawa Hiromitsu Hayashi Shin-ichiro Kumita |
| author_facet | Hidenori Yamaguchi Satoru Murata Tatsuo Ueda Takahiko Mine Shiro Onozawa Hiromitsu Hayashi Shin-ichiro Kumita |
| author_sort | Hidenori Yamaguchi |
| collection | DOAJ |
| description | Abstract Background Spontaneous isolated visceral artery dissection is rarely encountered. Endovascular intervention with good outcomes has become popular for patients with persistent symptoms or developing ischemia. We could perform life-saving treatment for a spontaneous isolated superior mesenteric artery dissection with a unique endovascular intervention. Case presentation We describe the case of an 80-year-old man who presented with acute abdominal pain and a spontaneous isolated superior mesenteric artery dissection measuring 35 mm in major diameter and 6.6 mm in minor diameter on abdominal contrast-enhanced computed tomography. After admission, abdominal pain was progressive, and a repeated scan revealed progression of the dissection. As an endovascular intervention, via the bilateral femoral approach, detachable coils were placed in the false lumen of the superior mesenteric artery dissection through the false lumen under the micro-balloon occlusion at the point of re-entry and entry through the true lumen to prevent coil migration. Technical and clinical success was achieved without serious adverse events. Conclusion Coil embolization using micro-balloon assistance combined with the double-catheter technique for a large entry and re-entry false lumen of a spontaneous isolated superior mesenteric artery dissection was useful and feasible. |
| first_indexed | 2024-12-19T06:38:01Z |
| format | Article |
| id | doaj.art-29e48a90fe164899b0d833abb905b40f |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-19T06:38:01Z |
| publishDate | 2021-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-29e48a90fe164899b0d833abb905b40f2022-12-21T20:32:10ZengSpringerOpenCVIR Endovascular2520-89342021-04-01411410.1186/s42155-021-00225-7New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissectionHidenori Yamaguchi0Satoru Murata1Tatsuo Ueda2Takahiko Mine3Shiro Onozawa4Hiromitsu Hayashi5Shin-ichiro Kumita6Department of Radiology, Nippon Medical School, Tamanagayama HospitalCenter for Interventional Radiology, Teikyo University Chiba Medical CenterDepartment of Radiology, Nippon Medical SchoolDepartment of Radiology, Nippon Medical School, Chibahokusoh HospitalDepartment of Radiology, Kyorin University HospitalDepartment of Radiology, Nippon Medical SchoolDepartment of Radiology, Nippon Medical SchoolAbstract Background Spontaneous isolated visceral artery dissection is rarely encountered. Endovascular intervention with good outcomes has become popular for patients with persistent symptoms or developing ischemia. We could perform life-saving treatment for a spontaneous isolated superior mesenteric artery dissection with a unique endovascular intervention. Case presentation We describe the case of an 80-year-old man who presented with acute abdominal pain and a spontaneous isolated superior mesenteric artery dissection measuring 35 mm in major diameter and 6.6 mm in minor diameter on abdominal contrast-enhanced computed tomography. After admission, abdominal pain was progressive, and a repeated scan revealed progression of the dissection. As an endovascular intervention, via the bilateral femoral approach, detachable coils were placed in the false lumen of the superior mesenteric artery dissection through the false lumen under the micro-balloon occlusion at the point of re-entry and entry through the true lumen to prevent coil migration. Technical and clinical success was achieved without serious adverse events. Conclusion Coil embolization using micro-balloon assistance combined with the double-catheter technique for a large entry and re-entry false lumen of a spontaneous isolated superior mesenteric artery dissection was useful and feasible.https://doi.org/10.1186/s42155-021-00225-7DissectionMesenteric arteryEndovascular interventionCoilEmbolization |
| spellingShingle | Hidenori Yamaguchi Satoru Murata Tatsuo Ueda Takahiko Mine Shiro Onozawa Hiromitsu Hayashi Shin-ichiro Kumita New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection CVIR Endovascular Dissection Mesenteric artery Endovascular intervention Coil Embolization |
| title | New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| title_full | New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| title_fullStr | New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| title_full_unstemmed | New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| title_short | New technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| title_sort | new technique for false lumen coiling of spontaneous isolated superior mesenteric artery dissection |
| topic | Dissection Mesenteric artery Endovascular intervention Coil Embolization |
| url | https://doi.org/10.1186/s42155-021-00225-7 |
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