Endovascular Treatment of Chronic Mesenteric Ischemia

Soga, Yoshimitsu; Yokoi, Hiroyoshi; Iwabuchi, Masashi; Nobuyoshi, Masakiyo

doi:10.1253/circj.72.1198

Cited by 25 publications

(8 citation statements)

References 17 publications

(20 reference statements)

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“…The primary patency rate in 2 years was 73%, and the secondary patency rate was 96%, with freedom from recurrent symptoms in 67% of patients. Similar results have been described by other authors [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57]. However, the tradeoff for a faster recovery with fewer complications is a higher restenosis and reintervention rate.…”

Section: Atherosclerotic Diseasesupporting

confidence: 90%

Current Concepts in the Management of Chronic Mesenteric Ischemia

Oderich

2010

Curr Treat Options Cardio Med

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Treatment of chronic mesenteric ischemia has evolved during the past two decades. Endovascular treatment has emerged as an alternative to bypass in elderly and higher-risk patients and is now the primary treatment modality for most patients with suitable lesions, independent of their surgical risk. Open surgical revascularization still has an important role for patients with more extensive disease, including those with long-segment stenosis or occlusions, small vessel diameter, multiple tandem lesions, or severe calcification. This article summarizes current concepts in the epidemiology, natural history, treatment selection, and outcomes of open and endovascular mesenteric reconstruction for chronic mesenteric ischemia.

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Section: Atherosclerotic Diseasesupporting

confidence: 90%

Current Concepts in the Management of Chronic Mesenteric Ischemia

Oderich

2010

Curr Treat Options Cardio Med

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“…Classic symptoms include postprandial abdominal pain, sitophobia, and weight loss; however, other nonspecific symptoms such as diarrhea, nausea, and vomiting may occur. [3] In our case, the SMA and IMA were occluded.…”

Section: Discussionmentioning

confidence: 47%

“…Chronic mesenteric ischemia usually results from a long-standing atherosclerotic lesion in two or more main splanchnic arteries. [3] In these cases, the rich vascular collaterals develop in the chronic period, and patients may have no symptoms. [2] Symptoms generally appear when two or more splanchnic arteries are affected.…”

Section: Discussionmentioning

confidence: 99%

“…[2] It generally results from the hemodynamically significant proximal atherosclerotic lesions of three main splanchnic arteries (severe narrowing or obstruction). [3] The typical signs and symptoms of CMI include postprandial abdominal pain, weight loss, and sitophobia, [1,4] and medical therapy and surgical or endovascular interventions may be used in the treatment of these patients. In this case report, we describe a case of CMI treated successfully with splenic artery-to-superior mesenteric artery bypass surgery.…”

mentioning

confidence: 99%

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Surgical treatment of chronic mesenteric ischemia with splenic artery-to-superior mesenteric artery bypass: a case report

Nazlı¹

2013

Turk Gogus Kalp Dama

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Kronik mezenterik iskemi, yüksek mortalite ve morbidite oranları ile karın ağrısının nadir, fakat önemli bir nedenidir. Yemek sonrası karın ağrısı, sitofobi ve kilo kaybı önemli klinik bulgu ve belirtilerdir. Tedavinin esas amacı, intestinal perfüzyonu yeniden sağlayarak hastanın belirtilerini ortadan kaldırmak ve bağırsak nekrozlarını önlemektir. Kronik mezenterik iskeminin tanısında Doppler ultrasonografi, bilgisayarlı tomografi anjiyografi, manyetik rezonans anjiyografi ve konvansiyonel anjiyografi kullanılır. Kronik mezenterik iskeminin tedavisinde medikal tedavinin yanı sıra cerrahi tedavi veya endovasküler girişimler de kullanılabilir. Bu yazıda inferior ve superior mezenterik arteri tıkalı kronik mezenterik iskemisi olan ve splenik arterden superior mezenterik artere baypas ameliyatı ile başarılı şekilde tedavi edilen 60 yaşında bir kadın olgu sunuldu. Anah tar söz cük ler: Baypas; kronik mezenterik iskemi; splenik arter; superior mezenterik arter.

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“…Erfolgsvoraussetzung ist die enge Zusammenarbeit zwischen Hausarzt, endovaskulärem Therapeuten und Gefäßchirurgen. Vergleichende Untersuchungen zwischen stentgestützter und offen-chirurgischer Rekonstruktion ergeben interessanterweise keinen Unterschied mit Blick auf die periinterventionelle Komplikationsrate [13,24,26,27,28]. Auch die Letalität ist mit 11% vs. 8% vergleichbar.…”

Section: Endovaskuläre Therapieunclassified

Chronic intestinal ischemia

Debus

Luther

Daum

et al. 2009

Chirurg

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Ischemic lesions of the splanchnic organs are characterized by an insidious course and therefore are often underestimated. They can result in dramatic courses of disease which even in the last decade still results in a mortality of up to 90%. The reasons for this depressing situation are various but mainly due to insufficient consideration of the symptoms and late therapy due to delayed diagnosis.The incidence of chronic splanchnic ischemia is approximately 1-2% of all abdominal diseases. In contrast to acute intestinal ischemia the course is progressive, caused by progression of the underlying atherosclerosis and polymorbidity in this aging society. On the one hand occlusions of splanchnic arteries are diagnosed more often and on the other hand the incidence has increased due to the rising number of therapy-linked vascular catheter maneuvers. Due to excellent collateralization, diffuse stenotic processes can maintain asymptomatic for a long time. Duplex sonography should be performed as this technique reveals relevant insights into the hemodynamic severity of lesions.

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Endovascular Treatment of Chronic Mesenteric Ischemia

Cited by 25 publications

References 17 publications

Current Concepts in the Management of Chronic Mesenteric Ischemia

Current Concepts in the Management of Chronic Mesenteric Ischemia

Surgical treatment of chronic mesenteric ischemia with splenic artery-to-superior mesenteric artery bypass: a case report

Chronic intestinal ischemia

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