Endovascular Treatment of Chronic Mesenteric Ischemia: Results in 14 Patients
Journal Article
·
· Cardiovascular and Interventional Radiology
We evaluated immediate and long-term results of percutaneous transluminal angioplasty (PTA) and stent placement to treat stenotic and occluded arteries in patients with chronic mesenteric ischemia. Fourteen patients were treated by 3 exclusive celiac artery (CA) PTAs (2 stentings), 3 cases with both Superior Mesenteric Artery (SMA) and CA angioplasties, and 8 exclusive SMA angioplasties (3 stentings). Eleven patients had atheromatous stenoses with one case of an early onset atheroma in an HIV patient with antiphospholipid syndrome. The other etiologies of mesenteric arterial lesions were Takayashu arteritis (2 cases) and a postradiation stenoses (1 case). Technical success was achieved in all cases. Two major complications were observed: one hematoma and one false aneurysm occurring at the brachial puncture site (14.3%). An immediate clinical success was obtained in all patients. During a follow-up of 1-83 months (mean: 29 months), 11 patients were symptom free; 3 patients had recurrent pain; in one patient with inflammatory syndrome, pain relief was obtained with medical treatment; in 2 patients abdominal pain was due to restenosis 36 and 6 months after PTA, respectively. Restenosis was treated by PTA (postirradiation stenosis), and by surgical bypass (atheromatous stenosis). Percutaneous endovascular techniques are safe and accurate. They are an alternative to surgery in patients with chronic mesenteric ischemia due to short and proximal occlusive lesions of SMA and CA.
- OSTI ID:
- 21088192
- Journal Information:
- Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 27; ISSN 0174-1551; ISSN CAIRDG
- Country of Publication:
- United States
- Language:
- English
Similar Records
Endovascular Treatment of Chronic Mesenteric Ischemia: Report of Five Cases
Percutaneous transluminal angioplasty and stent placement for subclavian and brachiocephalic artery stenosis in aortitis syndrome
Percutaneous Transluminal Angioplasty and Stent Placement for Subclavian and Brachiocephalic Artery Stenosis inAortitis Syndrome
Journal Article
·
Wed Jul 15 00:00:00 EDT 1998
· Cardiovascular and Interventional Radiology
·
OSTI ID:21080397
Percutaneous transluminal angioplasty and stent placement for subclavian and brachiocephalic artery stenosis in aortitis syndrome
Journal Article
·
Wed Sep 15 00:00:00 EDT 1999
· Cardiovascular and Interventional Radiology
·
OSTI ID:21414380
Percutaneous Transluminal Angioplasty and Stent Placement for Subclavian and Brachiocephalic Artery Stenosis inAortitis Syndrome
Journal Article
·
Wed Sep 15 00:00:00 EDT 1999
· Cardiovascular and Interventional Radiology
·
OSTI ID:21080281