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Endovascular treatment of chronic mesenteric ischemia: report of five cases

Nyman, Ulf LU ; Ivancev, Krassi LU ; Lindh, Mats LU and Uher, Petr LU (1998) In Cardiovascular and Interventional Radiology 21(4). p.305-313
Abstract
PURPOSE: To evaluate the midterm results of percutaneous transluminal angioplasty (PTA) and stent placement in stenotic and occluded mesentesic arteries in five consecutive patients with chronic mesenteric ischemia. METHODS: Five patients with 70%-100% obliterations of all mesenteric vessels resulting in chronic mesenteric ischemia (n = 4) and as a prophylactic measure prior to abdominal aortic aneurysm repair (n = 1) underwent PTA of celiac and/or superior mesenteric artery (SMA) stenoses (n = 2), primary stenting of ostial celiac occlusions (n = 2), and secondary stenting of a SMA occlusion (n = 1; recoil after initial PTA). All patients underwent duplex ultrasonography (US) (n = 3) and/or angiography (n = 5) during a median follow-up of... (More)
PURPOSE: To evaluate the midterm results of percutaneous transluminal angioplasty (PTA) and stent placement in stenotic and occluded mesentesic arteries in five consecutive patients with chronic mesenteric ischemia. METHODS: Five patients with 70%-100% obliterations of all mesenteric vessels resulting in chronic mesenteric ischemia (n = 4) and as a prophylactic measure prior to abdominal aortic aneurysm repair (n = 1) underwent PTA of celiac and/or superior mesenteric artery (SMA) stenoses (n = 2), primary stenting of ostial celiac occlusions (n = 2), and secondary stenting of a SMA occlusion (n = 1; recoil after initial PTA). All patients underwent duplex ultrasonography (US) (n = 3) and/or angiography (n = 5) during a median follow-up of 21 months (range 8-42 months). RESULTS: Clinical success was obtained in all five patients. Asymptomatic significant late restenoses (n = 3) were successfully treated with repeat PTA (n = 2) and stenting of an SMA occlusion (n = 1; celiac stent restenosis). Recurrent pain in one patient was interpreted as secondary to postsurgical abdominal adhesions. Two puncture-site complications occurred requiring local surgical treatment. CONCLUSIONS: Endovascular techniques may be attempted prior to surgery in cases of stenotic or short occlusive lesions in patients with chronic mesenteric ischemia. Surgery may still be preferred in patients with long occlusions and a low operative risk. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arteries, celiac, mesenteric—Mesentery, ischemia—Percutaneous transluminal angioplasty—Stents and prostheses
in
Cardiovascular and Interventional Radiology
volume
21
issue
4
pages
305 - 313
publisher
Springer
external identifiers
  • pmid:9688798
  • scopus:0031828915
ISSN
1432-086X
DOI
10.1007/s002709900266
language
English
LU publication?
yes
id
d12b3683-b489-4eda-ad64-cd70e34f9ad2 (old id 1113858)
date added to LUP
2016-04-01 12:09:41
date last changed
2022-03-21 00:22:56
@article{d12b3683-b489-4eda-ad64-cd70e34f9ad2,
  abstract     = {{PURPOSE: To evaluate the midterm results of percutaneous transluminal angioplasty (PTA) and stent placement in stenotic and occluded mesentesic arteries in five consecutive patients with chronic mesenteric ischemia. METHODS: Five patients with 70%-100% obliterations of all mesenteric vessels resulting in chronic mesenteric ischemia (n = 4) and as a prophylactic measure prior to abdominal aortic aneurysm repair (n = 1) underwent PTA of celiac and/or superior mesenteric artery (SMA) stenoses (n = 2), primary stenting of ostial celiac occlusions (n = 2), and secondary stenting of a SMA occlusion (n = 1; recoil after initial PTA). All patients underwent duplex ultrasonography (US) (n = 3) and/or angiography (n = 5) during a median follow-up of 21 months (range 8-42 months). RESULTS: Clinical success was obtained in all five patients. Asymptomatic significant late restenoses (n = 3) were successfully treated with repeat PTA (n = 2) and stenting of an SMA occlusion (n = 1; celiac stent restenosis). Recurrent pain in one patient was interpreted as secondary to postsurgical abdominal adhesions. Two puncture-site complications occurred requiring local surgical treatment. CONCLUSIONS: Endovascular techniques may be attempted prior to surgery in cases of stenotic or short occlusive lesions in patients with chronic mesenteric ischemia. Surgery may still be preferred in patients with long occlusions and a low operative risk.}},
  author       = {{Nyman, Ulf and Ivancev, Krassi and Lindh, Mats and Uher, Petr}},
  issn         = {{1432-086X}},
  keywords     = {{Arteries; celiac; mesenteric—Mesentery; ischemia—Percutaneous transluminal angioplasty—Stents and prostheses}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{305--313}},
  publisher    = {{Springer}},
  series       = {{Cardiovascular and Interventional Radiology}},
  title        = {{Endovascular treatment of chronic mesenteric ischemia: report of five cases}},
  url          = {{http://dx.doi.org/10.1007/s002709900266}},
  doi          = {{10.1007/s002709900266}},
  volume       = {{21}},
  year         = {{1998}},
}