Endovascular therapy for chronic mesenteric ischemia

Silva, J. A., White, C. J., Collins, T. J., Jenkins, J. S., Andry, M. E., Reilly, J. P. and Ramee, S. R. (2006) Endovascular therapy for chronic mesenteric ischemia. Journal of the American College of Cardiology, 47 5: 944-950. doi:10.1016/j.jacc.2005.10.056

Author Silva, J. A.
White, C. J.
Collins, T. J.
Jenkins, J. S.
Andry, M. E.
Reilly, J. P.
Ramee, S. R.
Title Endovascular therapy for chronic mesenteric ischemia
Journal name Journal of the American College of Cardiology   Check publisher's open access policy
ISSN 0735-1097
Publication date 2006-03-01
Sub-type Article (original research)
DOI 10.1016/j.jacc.2005.10.056
Open Access Status Not yet assessed
Volume 47
Issue 5
Start page 944
End page 950
Total pages 7
Place of publication San Diego, CA, United States
Publisher Elsevier Inc.
Language eng
Formatted abstract
OBJECTIVES: We sought to describe the outcomes of a consecutive series of patients with chronic mesenteric ischemia (CMI) who were treated with percutaneous stent revascularization. BACKGROUND: Historically, the treatment for CMI has been surgical revascularization. However, surgery carries a significant procedural complication rate and mortality. METHODS: Fifty-nine consecutive patients with CMI underwent stent placement in 79 stenotic (>70%) mesenteric arteries. All patients had clinical follow-up and 90% had anatomical follow-up with angiography (computed tomography or conventional) or ultrasound at ≥6 months after the procedure. RESULTS: Procedural success was obtained in 96% (76 of 79 arteries) and symptom relief occurred in 88% (50 patients). At a mean follow-up of 38 ± 15 months (range, 6 to 112 months), 79% of the patients remained alive, and 17% (n = 10) experienced a recurrence of symptoms. Angiography or ultrasound obtained at 14 ± 5 months after the procedure demonstrated a restenosis rate of 29% (n = 20). All patients with recurrent symptoms had angiographic in-stent restenosis and were successfully revascularized percutaneously. CONCLUSIONS: Percutaneous stent placement for the treatment of CMI can be performed with a high procedural success and a low complication rate. The long-term freedom from symptoms and vascular patency are comparable with surgical results. The inherent lower procedural morbidity and mortality makes the endovascular approach the preferred revascularization technique for these patients. © 2006 by the American College of Cardiology Foundation.
Keyword Chronic intestinal ischemia
Balloon Angioplasty Injury
Stent placement
Late outcomes
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Mon, 14 Mar 2011, 20:28:48 EST