PURPOSE To present a new approach route for recanalization of a chronically occluded superior mesenteric artery (SMA). TECHNIQUE Percutaneous treatment of an SMA occlusion can be accomplished in some cases via retrograde crossing through collaterals from the celiac artery. From a right common femoral artery (CFA) approach, an 8-F RDC guide catheter is advanced to the origin of the celiac arte...

PURPOSE Our purpose was to evaluate image delineation ability of contrast-enhanced post-mortem computed tomography (CEPMCT) using cardiopulmonary resuscitation technique of chest compression, named "resuscitation CEPMCT". MATERIALS AND METHODS Non-traumatically-deceased 15 subjects (7 men; 8 women) aged 19-87 years (mean 61 years) underwent resuscitation CEPMCT. The contrast-enhanced techniqu...

A variation artery was observed in a Japanese cadaver. The celiac and superior mesenteric arteries arose from a common trunk (also referred to as the celiacomesenteric trunk), but not from the abdominal aorta, respectively. From the common trunk, the common hepatic artery was distributed in the right part of the liver, and the left hepatic artery arose from the left gastric artery, which also a...

We present a case of a rare variation of the hepatic artery discovered during the routine examination of abdomen by computed tomography. This variation was showed by multidetector-row computed tomography (MDCT) in a 35-year-old man. There have been shown the common hepatic artery arising from the anterior surface of abdominal aorta, 4 mm inferior to the celiac trunk. We discussed clinical signi...

Celiac compression is usually a benign condition, but when surgery necessitates division of collaterals from the superior mesenteric artery, it may cause life-threatening celiac organ ischemia. Celiac axis obstruction is found in 12.5% to 49.7% of patients during abdominal angiography. In such patients, the arterial blood supply to the stomach, spleen, and liver is sustained through extraordina...

RATIONALE Anatomical variations of the celiac trunk and the hepatic artery are of considerable importance in hepatopancreatobiliary surgery, liver transplants, and radiological abdominal interventions. PATIENT CONCERNS Here, we report a 57-year-old man with 2 weeks of painless progressive jaundice. Preoperative imaging and cytology brush results suggested an ampullary tumor and common hepatic...

OBJECTIVE To describe the fate of the false lumen remaining in the descending thoracic aorta after extensive primary repair of the thoracic aorta by the modified elephant trunk technique with a stent graft for acute type A aortic dissection, particularly the changes of the false lumen on enhanced CT scanning. METHODS The subjects were 65 consecutive patients who received arch replacement with...

Introduction The abdominal aorta begins at 12th thoracic vertebra, and it descends anterior to the lumbar vertebrae, and bifurcates at the 4th lumbal vertebral body. It supplies all the abdominal organs, abdominal walls, gonads, and lower extremity [1]. In the usual vasculature, celiac trunk is divided into three branches: common hepatic artery (CHA), splenic artery (SA), and left gastric arter...

In a stdudenet course of gross anatomy dissection at Kanagawa Dental College in 2006, we found an extremely rare case of the hepatic artery arising from the superior mesenteric artery of a 78-year-old Japanese male cadaver. This case belonged to type V in Adachi's classification of the celiac trunk and the superior mesenteric artery (1928). The gastro-splenic trunk and hepato-mesenteric trunk b...

Chronic mesenterial ischemia (CMI) is an uncommon cause of abdominal afflictions. The spectrum of therapeutic options ranges from mesenteric artery angioplasty and stenting to surgical revascularization. We used orthogonal polarization spectral (OPS) imaging to assess microcirculation after revascularization of the celiac artery and the superior mesenteric artery. Furthermore, we applicated a p...