Stent Implantation of Critical Stenosis in Celiac Trunk

• DOI: 10.5578/khj.9572
• Publication Date: 2016-01-08T16:04:39Z
• Authors: Alev Kılıçgedik

A 69-year-old male patient presented with postprandial abdominal pain, food fear and signifi cant weight loss (25-30 kg) that gradually worsened over the past 4 years, suggesting a diagnosis of chronic mesenteric ischemia.Eight months ago, he had myocardial infarction (MI) followed by coronary artery bypass grafting (left internal mammarian to left anterior descending (LIMA-LAD) aorta-circumfl ex (Ao-CX)), as well long-standing history hypertension smoking for years.Laboratory examination was normal exception elevated fasting hyperglycemia (124 mg/dL).The electrocardiography showed sinus rhythm right bundle branch block.He reports having undergone gastroenterology several times in past.No pathology could be detected endoscopy colonoscopy.Celiac angiography were performed demonstrated 90% stenosis celiac artery.Considering symptoms, intervention lesion planned.The taken laboratory.Selective catheterization trunk 7F Judkins catheter guide sheath through femoral from anteroposterior lateral projections.Endovenously, 10.000 U heparin administered.The passed 0.014 hi-torque extra support guidewire.The predilated 4.5 x 12 mm balloon.A 6.0 18 balloon expandable stent implanted after ballooning.The fully opened.No complications occurred.After procedure, completely symptom-free during meals, which also provided psychological relief due recuperation ability eat without fear.Figure 1.(A) Digital subtraction image severe occlusion (B) Ballooning trunk, (C) Placement into ostium, (D) Image showing successful recanalization artery.