Influence of complete revascularization on chronic mesenteric ischemia

McAfee, Molly K.; Cherry, Kenneth J.; Naessens, James M.; Pairolero, Peter C.; Hallett, John W.; Gloviczki, Péter; Bower, Thomas C.

doi:10.1016/s0002-9610(05)81074-8

Cited by 134 publications

(85 citation statements)

References 15 publications

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“…Prosthetic grafts are now preferred by many surgeons, especially 6-7-mm double-velour Dacron or a single limb of a crimped woven Dacron bifurcated graft. 8,17,18 We used a 6-mm ringed ePTFE graft for an infrarenal aorta-SMA bypass graft because it is easy to handle and cut, and it can be shaped in a smooth configuration without kinking or compression by the externally supported rings. The ePTFE graft also has much better antithrombogenicity than the Dacron graft, which could improved the long-term patency rate.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results of Aorta-Superior Mesenteric Artery Bypass Using a New Route

2004

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Section: Discussionmentioning

confidence: 99%

Long-Term Results of Aorta-Superior Mesenteric Artery Bypass Using a New Route

2004

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“…Improvements in outcomes may be attributed to several factors, including technical refinements, better patient selection, and advances in medical, anesthetic, and critical care management. In the first two Mayo Clinic reports from 1981 and 1992, more than 50% of the patients had three-vessel revascularization, and concomitant aortic reconstruction was performed in 20%-30% [22,23]. The operative mortality was 10% in both reports.…”

Section: Atherosclerotic Diseasementioning

confidence: 98%

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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“…Literature from the surgical revascularisation setting has shown that complete revascularisation of the coeliac trunk and SMA is associated with improved long-term outcomes (Mateo et al, 1999;McAfee et al, 1992;Foley et al, 2000). The simultaneous treatment of two vessels prevents symptom recurrence in the event of restenosis in either artery.…”

Section: Which Vessel To Treatmentioning

confidence: 99%

“…The simultaneous treatment of two vessels prevents symptom recurrence in the event of restenosis in either artery. Improved graft patency and survival with complete reconstruction (McAfee et al, 1992), and a higher incidence of symptoms and graft failure with single vessel therapy (Foley et al, 2000) have each been demonstrated. There is a tendency to treat fewer vessels when choosing endovascular revascularisation compared with surgical revascularisation (Kougias et al, 2009).…”

Section: Which Vessel To Treatmentioning

confidence: 99%