The Use of an Arteriogram with the Correct Treatment for Celiac Artery Stenosis

Celiac artery stenosis (CAS) occurs as a result of the clogging of arteries with a build-up of plaque. This serious condition affects the celiac artery, which is responsible for feeding the vital organs in the abdominal area, including the spleen, the pancreas and the liver.

It is very important to diagnose the disorder correctly and early on, even though it might be difficult at first. Initially, patients can be asymptomatic, and once they develop symptoms, the disease could already be worse than expected. Some of the main symptoms include abdominal pain right after having a meal, problems with liver function and bowel dysfunction. The pain in the abdominal area can also develop into chronic pain.

Choosing the Right Treatment

Correct diagnosis of CAS is performed either through a CT, MRI or ultrasound. Following the diagnosis, you can have an arteriogram performed in order to get a stent that will help keep the celiac artery open and restore proper blood flow.

An arteriogram is considered to be the best type of treatment for patients who have celiac artery stenosis. The name “Arteriogram” comes from “arterio,” which means “artery” and “gram” which simply means “picture.” As such, the goal is to create a clear picture or map of the artery using X-rays, so that the experts can detect any abnormalities before continuing with the procedure.

Once a map is created, the artery will be accessed with the purpose of using one of three possible treatment methods: Balloon Angioplasty, Atherectomy or Stent Placement.

Getting an Arteriogram with Intervention

MIVA Medical is able to perform accurate arteriograms for patients with CAS. We will ensure that the diagnosis is accurate and quickly help you determine the proper choice for treatment. Once the arteriogram is completed, our experts will proceed to drive a hollow needle through the femoral or radial artery and use ultrasound to guide it to the celiac artery. The needle is attached to a wire which has the purpose of driving a sheath (a one-way valve) into the artery in order to allow for easy access to it without any blood loss.

The intervention required might differ depending on how severe the problem might be. A balloon angioplasty might be required, which uses a catheter and a special, elongated balloon to open up the artery and allow the blood to circulate freely. Specialized catheters can also be used along with an atherectomy, which involves removing the excess plaque from the walls of the artery. If neither method is effective, then a stent placement will be ultimately be required, which involves the introduction of a metal wire tube to keep the celiac artery open.

MIVA Medical experts are able to perform all these procedures using moderate sedation. You will need a closure device that is designed to close up the artery, however the recovery time after the procedure will be minimal.