Retrograde superior mesenteric artery stenting (ROMS) represents a significant development in the treatment of acute mesenteric ischemia. Compared to traditional surgical mesenteric bypass, ROMS is a less invasive technique that avoids many complications associated with emergent mesenteric bypass. This case report illustrates that retrograde superior mesenteric artery (SMA) stenting is an option for the treatment of acute mesenteric ischemia for patients in extremis.
Schoots IG, Koffeman GI, Legemate DA, Levi M., van Gulik TMSystemic review of survival after acute mesenterc ischaemia according to disease aetiology. Br J Surg. 2004;91(1):17-27.
Hansen KJ, Wilson DB, Craven TE, et al. Mesenteric artery disease in the elderly. J Vasc Surg. 2004;40(1):45-52.
8.
Valentine RJ , Martin JD, Myers SI, Rossi MB, Clagett GPAsymptomatic celiac and superior mesenteric artery stenosis are more prevalent among patients with unsuspected renal artery stenosis. J Vasc Surg. 1991;14(2):195-199.
9.
Reinus JF, Brandt LJ, Boley SJIschemic diseases of the bowel. Gastroenterol Clin North Am . 1990;19(2):319-343.
10.
Cho JS, Carr JA, Jacobsen G., Shepard AD, Nypaver TJ, Reddy DJLong-term outcome after mesenteric artery reconstruction: a 37 year experience . J Vasc Surg. 2002;35(3): 453-460.
11.
Rosow DE, Sahani D., Strobel O., et al. Imaging of acute mesenteric ischemia using multidetector CT and CT angiography in a porcine model. J Gastrointest Surg . 2005;9(9): 1262-1275.
12.
Oldenburg WA , Lau LL, Rodenberg TJ, Edmonds HJ, Burger CDAcute mesenteric ischemia: a clinical review . Arch Intern Med. 2004;164(10):1054-1062.
13.
Moawad J., Gewertz BLChronic mesenteric ischemia. Clinical presentation and diagnosis. Surg Clin North Am. 1997;77(2):357-369.
14.
Falkensammer J., Oldenburg WASurgical and medical management of mesenteric ischemia. Curr Treat Options Cardiovasc Med. 2006;8(2):137-143.
15.
Thomas DP, Robert HRHypercoagulability in venous and arterial thrombosis. Ann Intern Med. 1997;126(8):638-644.
