Ces radiol. 2026, 80(2):109-113 | DOI: 10.55095/CesRadiol2026/021
Percutaneous retrograde revascularization of the superior mesenteric artery for chronic mesenteric ischemiaCase report
- 1 Radiologická klinika LF UP a FN, Olomouc
- 2 Klinika kardiovaskulární a transplantační chirurgie FN, Olomouc Korespondenční adresa:
Kučera P, Černá M, Prášil V, Utíkal P, Dráč P, Köcher M. Percutaneous retrograde revascularization of the superior mesenteric artery in chronic mesenteric ischemia
Chronic mesenteric ischemia is a condition of chronically reduced blood flow through the intestines, most often due to atherosclerosis of the unpaired visceral arteries of the abdominal aorta at their origin. Symptoms of the disease usually appear only when multiple mesenteric arteries are affected, when collateral circulation is no longer able to sufficiently compensate for the perfusion deficit. Long-term recurrent ischemia causes structural and functional changes in the intestinal wall, particularly motility and absorption disorders. Symptoms typically occur after eating, leading to reduced food intake, weight loss, and malnutrition. This case report presents a 69-year-old woman with complete occlusion of the superior mesenteric artery, in whom standard antegrade endovascular recanalization was not possible. Alternatively, a retrograde endovascular approach through the collateral circulation, specifically through the pancreaticoduodenal arcade, was successfully used.
Conclusion: Retrograde endovascular recanalization using collateral circulation may represent an alternative therapeutic approach in selected cases in patients with chronic mesenteric ischemia and complete occlusion of the superior mesenteric artery in whom standard
antegrade endovascular procedures could not be performed.
Keywords: chronic mesenteric ischemia, superior mesenteric artery, endovascular treatment, retrograde approach, stent implantation.
Accepted: March 23, 2026; Published: July 1, 2026 Show citation
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