- Female patient, known history of SLE on immunosuppressive drugs, not cardiac, not DM.
- Presented with progressive course of postprandial pain, food fear and weight loss.
- Other causes of abdominal pain were excluded including upper GIT endoscopy that was unremarkable.
- CT Angiography showed flush celiac artery occlusion, SMA, and IMA occlusion.
- Decision taken for SMA stenting that was done on December 2019.
- Symptoms improved for 2 years.
- January 2022, the patient starts to suffer recurrent symptoms.
- CT Angiography showed severe in-stent stenosis and focal occlusion distal to stent.
- March 2022, Endovascular intervention was done with POBA then DCB for in-stent stenosis with satisfactory angiographic results.
- Shortly, symptoms recurred again & CT showed occluded SMA Stent.
- Decision taken for retrograde revascularization from EIA to Common hepatic artery using 8 mm Flixene graft.
