{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:51:46Z","timestamp":1765889506924,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Acute bowel ischemia that develops secondarily to thrombotic occlusion of the superior mesenteric artery is a life-threatening abdominal emergency. Although an open surgical repair is still the main treatment modality for this pathology, percutaneous endovascular revascularization is currently recognized as an alternative therapeutic option. However, in some patients, endovascular repair of the occluded superior mesenteric artery is technically very challenging. Case description: We provide technical details of percutaneous endovascular revascularization of the superior mesenteric artery in a patient presenting with highly calcified plaques extending to the aortic wall, with an associated risk of the aortic wall rupturing after standard balloon angioplasty. The patient was managed using the lithotripsy-assisted angioplasty, in order to minimize the risk of aortic injury. Conclusion: During endovascular reconstruction of the superior mesenteric artery for acute bowel ischemia, on the one hand, a full revascularization of the ischemic bowel should be achieved. On the other hand, the procedure should not be too aggressive. In this technical note, we demonstrated that even very difficult cases can be successfully managed endovascularly, if a tailored approach is used and proper endovascular devices are applied.<\/jats:p>","DOI":"10.3390\/jcm14093014","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T09:39:47Z","timestamp":1745833187000},"page":"3014","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Advanced Percutaneous Endovascular Techniques for the Treatment of Acute Bowel Ischemia\u2014Retrograde Endovascular Recanalization and Lithotripsy-Assisted Angioplasty: Case Report"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1538-4786","authenticated-orcid":false,"given":"Pawe\u0142","family":"Latacz","sequence":"first","affiliation":[{"name":"Department of Radiology, Jagiellonian University Medical College, 43-007 Krakow, Poland"},{"name":"Department of Vascular Surgery and Angiology, Brothers of Mercy St. John Grande\u2019s Hospital, 31-061 Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadeusz","family":"Popiela","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jagiellonian University Medical College, 43-007 Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"St\u0119pie\u0144","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jagiellonian University Medical College, 43-007 Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2891-6083","authenticated-orcid":false,"given":"Marian","family":"Simka","sequence":"additional","affiliation":[{"name":"Department of Anatomy, University of Opole, 45-040 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,27]]},"reference":[{"key":"ref_1","first-page":"832.e8","article-title":"Outcomes of revascularized acute mesenteric ischemia in the American College of Surgeons National Surgical Quality Improvement Program database","volume":"77","author":"Newton","year":"2011","journal-title":"Am. 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