The following table or figure may be downloaded to PowerPoint for personal use in teaching and presentations. This feature is available to all subscribers to the journal.
You MUST read and follow the guidelines at Request to Reproduce AJR Content if you are distributing or using AJR content beyond academic use (limited distribution, non-revenue producing, or educational purposes).
(Downloading may take up to 30 seconds.
If the slide opens in your browser, select File -> Save As to save it.)
Click on image to view larger version.
Fig. 3A —58-year-old man who underwent placement of supraceliac bypass to
superior mesenteric artery (SMA) using reversed greater saphenous vein for
typical symptoms of chronic mesenteric ischemia. One year after surgery,
symptoms recurred that were found to be caused by stenosis of proximal graft
anastomosis and 70% stenosis in SMA just distal to graft anastomosis on
catheter angiography (not shown). Patient underwent recanalization of occluded
proximal native SMA and placement of balloon-expandable stent as well as
percutaneous transluminal angioplasty (PTA) of SMA just distal to anastomosis.
Stenosis in graft was not treated. MDCT angiogram immediately after
intervention shows vein graft stenosis (arrowhead), stent in proximal
SMA (solid arrow), and widely patent SMA after successful PTA
(black arrow).
