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Intravascular ultrasound-guided laparoscopic division of the median arcuate ligament
- Source :
- Journal of Vascular Surgery Cases and Innovative Techniques, Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 1, Pp 147-151 (2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Median arcuate ligament syndrome is a rare and poorly understood condition that can have a significant impact on the quality of life of patients. Diagnosis is often difficult and delayed because of the need to exclude other pathologic processes. Treatment strategies traditionally involve open or laparoscopic division of the median arcuate ligament, with or without vascular reconstruction. This report portrays a case of median arcuate ligament syndrome with compression of two visceral arteries and distal embolic complications. A novel hybrid technique is described using intravascular ultrasound technology to aid in laparoscopic median arcuate ligament division. This allowed real-time intravascular visualization of the compressive segment, guided release of the ligament fibers, and demonstrated confirmation of decompression. Keywords: Vascular surgery, Intravascular ultrasound, Median arcuate ligament syndrome
- Subjects :
- lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
Innovative technique
Decompression
Median arcuate ligament syndrome
lcsh:Surgery
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Vascular reconstruction
Intravascular ultrasound
medicine
medicine.diagnostic_test
business.industry
Median arcuate ligament
lcsh:RD1-811
Vascular surgery
musculoskeletal system
medicine.disease
medicine.anatomical_structure
lcsh:RC666-701
Ligament
Treatment strategy
Surgery
Radiology
Cardiology and Cardiovascular Medicine
business
human activities
Subjects
Details
- Language :
- English
- ISSN :
- 24684287
- Volume :
- 6
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Vascular Surgery Cases and Innovative Techniques
- Accession number :
- edsair.doi.dedup.....925b2262304bb6665094aa863ded3c77