Treatment of Celiac Artery Compression Syndrome After Celiac Trunk Stent Failure
For patients with celiac artery compression syndrome in whom celiac trunk stenting does not maintain adequate long-term patency, a distinct escalation protocol exists. This page outlines the failure condition that triggers it and provides a partial overview of the surgical approach involved.
Prior therapy: celiac trunk stenting with a covered balloon-expandable stent, performed for residual celiac trunk stenosis after MAL release. Escalation to this protocol is triggered by loss of celiac trunk stent patency at 6-month follow-up.
This protocol involves a surgical bypass approach carried out after MALS release, addressing complex celiac stenosis that cannot be managed by endovascular means alone. The complete operative technique, graft selection, and procedural algorithm are available in the full structured protocol.
Successful revascularization of the celiac trunk.
References
DOI: 10.3390/jvd4010011
One invasive alternative with high efficacy for complex stenosis is to perform an aorto-hepatic by-pass after MALS release using a polytetrafluoroethylene (ePTFE) prosthesis, resulting in successful revascularization.
View source ↗