Successful Endovascular Treatment of Calcified Superior Mesenteric Artery Complicated by Intramural Hematoma in Chronic Mesenteric Ischemia

Takuya Nakahashi; Hayato Tada; Shota Inaba; Masafumi Hashimoto; Akihiro Nomura; Noboru Terayama; Kenji Sakata; Masayuki Takamura

doi:10.12659/AJCR.942641

19 January 2024 : Case report Japan

Successful Endovascular Treatment of Calcified Superior Mesenteric Artery Complicated by Intramural Hematoma in Chronic Mesenteric Ischemia

Unusual clinical course, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents

Takuya Nakahashi^1ABCDEF*, Hayato Tada^2BDF, Shota Inaba^2BCE, Masafumi Hashimoto^1BCE, Akihiro Nomura

^2BCE, Noboru Terayama^3BCE, Kenji Sakata^2BCE, Masayuki Takamura^2E

DOI: 10.12659/AJCR.942641

Am J Case Rep 2024; 25:e942641

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Figure 2. Pre-procedural angiography and intravascular ultrasound (IVUS) imaging of the superior mesenteric artery (SMA) (A). A cutting balloon was used to treat the stenosis of the SMA (B). Angiography after balloon angioplasty and intramural hematoma was observed with IVUS examination (C). Covering the whole dissection in the SMA with the implantation of self-expandable stents (D). Selective superior mesenteric angiography after endovascular therapy (E). The three-dimensional construction of computed tomography angiography after deployment of the self-expandable stents (F).

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Successful Endovascular Treatment of Calcified Superior Mesenteric Artery Complicated by Intramural Hematoma in Chronic Mesenteric Ischemia

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