Huang Wei, Wang Ke, Liu Yang, Wang Qi-Qi, Wei Hai-Jun, He Chun-Shui
Department of Vascular Surgery, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Vascular. 2024 Sep 27:17085381241289485. doi: 10.1177/17085381241289485.
To report revascularization of a superior mesenteric artery (SMA) ostial occlusion via the Arc of Buhler.
A 62-year-old female presented with 2 months of recurrent abdominal distension and postprandial pain. Computed tomography angiography (CTA) revealed ostial occlusion of the SMA with distal perfusion via the Arc of Buhler (connecting the celiac trunk and SMA). Conventional endovascular techniques failed. A 0.014 guidewire was passed retrograde through the occlusion via the Arc of Buhler. The guidewire was captured from the femoral sheath and balloon angioplasty with stent placement was performed. The patient had complete symptom resolution post-procedure.
Retrograde revascularization via the Arc of Buhler is an effective method for treating the initial segment occlusion of the SMA.
报告经布勒氏弓对肠系膜上动脉（SMA）开口处闭塞进行血管重建。
一名62岁女性出现2个月的反复腹胀和餐后疼痛。计算机断层血管造影（CTA）显示SMA开口处闭塞，通过布勒氏弓（连接腹腔干和SMA）进行远端灌注。传统血管内技术失败。一根0.014导丝经布勒氏弓逆行穿过闭塞处。导丝从股鞘中捕获，随后进行球囊血管成形术并置入支架。患者术后症状完全缓解。
经布勒氏弓逆行血管重建是治疗SMA起始段闭塞的有效方法。
