EURORAD ESR

Case 7259

Endovascular approach of symptomatic occlusion of the superior mesenteric artery (SMA) in a male-to-female transgender with lupus anticoagulant

Author(s)
Lucatelli P, Boatta E, Salvatori FM, Passariello R.
Interventional Radiology Unit, La Sapienza Univeristy of Rome, Italy.
 
Patient
male, 33 year(s)
 
 
  • Figure 1
    CT scan before the procedure (axial)
     

    SMA is not appreciable

     

    SMA is not appreciable, but collateral vessel could be reconized

     

    SMA is not appreciable, but collateral vessel could be reconized

     

    SMA is not appreciable, but collateral vessel could be reconized

     

    neither the inferior mesenteric artery is appreciable

     

    neither the inferior mesenteric artery is appreciable

     
     
     
  • Figure 2
    Recontruction (MIP and VR) before the procedure
     

    it is appreciable the complete obstruction of the SMA ostium.

     

    it is appreciable the complete absence the the SMA

     
     
     
  • Figure 3
    XA procedure
     

    recanalization is performed with a 0'035 hydrophilic guidewire

     

    the catheter is advanced over the guidewire

     

    angioghraphy showed the patency of distal branches of the SMA

     

    stent devices is positioned

     

    stent deployment

     

    angioghraphy at the end of the procedure

     
     
     
  • Figure 4
    CT scan after the procedure (axial)
     

    stent appear patent and no thrombosys it's appreciable

     

    stent appear patent and no thrombosys it's appreciable

     

    stent appear patent and no thrombosys it's appreciable

     

    stent appear patent and no thrombosys it's appreciable

     

    stent appear patent and no thrombosys it's appreciable

     

    distal branches are pantet and received more flow due to the ostium recanalization

     

    distal branches are pantet and received more flow due to the ostium recanalization

     

    distal branches are pantet and received more flow due to the ostium recanalization

     
     
     
  • Figure 5
    Recontruction (MIP and VR) after the procedure
     

    patency of the SMA is demonstrated

     

    SMA is appreciable

     
     
     
SMA is not appreciable
 
SMA is not appreciable, but collateral vessel could be reconized
 
SMA is not appreciable, but collateral vessel could be reconized
 
SMA is not appreciable, but collateral vessel could be reconized
 
neither the inferior mesenteric artery is appreciable
 
neither the inferior mesenteric artery is appreciable
 
it is appreciable the complete obstruction of the SMA ostium.
 
it is appreciable the complete absence the the SMA
 
recanalization is performed with a 0'035 hydrophilic guidewire
 
the catheter is advanced over the guidewire
 
angioghraphy showed the patency of distal branches of the SMA
 
stent devices is positioned
 
stent deployment
 
angioghraphy at the end of the procedure
 
stent appear patent and no thrombosys it's appreciable
 
stent appear patent and no thrombosys it's appreciable
 
stent appear patent and no thrombosys it's appreciable
 
stent appear patent and no thrombosys it's appreciable
 
stent appear patent and no thrombosys it's appreciable
 
distal branches are pantet and received more flow due to the ostium recanalization
 
distal branches are pantet and received more flow due to the ostium recanalization
 
distal branches are pantet and received more flow due to the ostium recanalization
 
patency of the SMA is demonstrated
 
SMA is appreciable
 
 
 
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