| Case Report |
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| Successful recanalization of chronic total occlusion of the superior mesenteric artery by transradial approach |
| Woo Taek Kim, Sung Gyun Ahn, Jun-Won Lee, Joong Kyung Sung, Seung Hwan Lee, Junghan Yoon |
| Division of Cardiology, Wonju College of Medicine, Yonsei University, Wonju 220-701, Korea |
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Abstract It is a challenge to confirm chronic mesenteric ischemia (CMI) as a cause of gastrointestinal (GI) symptoms such as postprandial epigastric bloating, anorexia, and debilitating weight loss. Endovascular intervention for CMI has been gaining popularity because of the high morbidity associated with surgical revascularization. However, in EVI for superior mesenteric artery (SMA) occlusion, the transfemoral approach is limited by difficulty in coaxial alignment of the guiding catheter, which leads to insufficient back-up support. Herein, we report on a 58-year-old male patient with chronic total occlusion of the SMA, which was successfully revascularized by endovascular intervention via the left radial artery. Transradial endovascular therapy may be another treatment option for the treatment of CMI.
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Received: 30 June 2010
Published: 02 August 2010
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