University of Texas Medical Branch Galveston, Texas
Summary: The case herein illustrates our hybrid approach to stenting of the superior mesenteric artery through only a small 6cm peri-umbilical laparotomy incision. In this patient with moderate COPD on home oxygen who presented with acute on chronic mesenteric ischemia after a failed attempt at antegrade revascularization at an outside institution, revascularization via a small jejunal branch in retrograde fashion allow for procedural success with minimal perioperative morbidity. This video demonstrates the ease at which jejunal access can be obtained for subsequent mesenteric stenting without the morbidity from a full midline laparotomy, particularly in patients with multiple medical comorbidities who may not be able to tolerate a large abdominal surgery.
.jpg "Kofi B. Quaye, MD photo")