case_images: PMC11750257_01
case_images: Aortogram showing featureless aorta with high grade celiac stenosis (arrow) and superior mesenteric artery (SMA) occlusion (origin of the SMA could not be seen in the anterograde approach, calcium deposit was noted inferior to the celiac origin, consistent with calcified SMA origin).
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case_images: PMC11750257_01_gr1.jpg
case_images: fig1
case_images: Aortogram was performed, and although the celiac artery was visualized with high-grade stenosis, the SMA was not visualized due to flush occlusion (Fig 1).
case_images: Visualization of pancreaticoduodenal arcade and reconstitution of the superior mesenteric artery (SMA) (arrows point to the utilized collateral) (anteroposterior) (A). Though-and-though wire placement prior to intervention (lateral) (B).
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case_images: PMC11750257_01_gr2.jpg
case_images: fig2
case_images: Angiogram here delineated the takeoff of the gastroduodenal artery (GDA) and the PDA (Fig 2, A). The 0.014 through-wire was then snared via the right groin sheath and externalized (Fig 2, B).
case_images: Completion angiogram after celiac and superior mesenteric artery (SMA) stenting.
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case_images: PMC11750257_01_gr3.jpg
case_images: fig3
case_images: A final angiogram was performed and demonstrated excellent flow now through the celiac axis, gastroduodenal arcade, and SMA, with excellent filling of SMA arcades (Fig 3).