Surgical Versus Endovascular Reconstruction for Chronic Mesenteric Ischemia: A Contemporary UK Series

Davies, Robert; Wall, Michael L.; Silverman, Stanley; Simms, M.H.; Vohra, Rajiv; Bradbury, Andrew W.; Adam, Donald J.

doi:10.1177/1538574408328665

Cited by 45 publications

(25 citation statements)

References 27 publications

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“…20,21,23,25,39,43,44,46,47,50,52,55 The 1-year Kaplan-Meier cumulative primary patency rates were similar: 63% (95% confidence interval [CI], 45%-81%) vs 70% (95% CI, 43%-96%). 44 ER of occluded splanchnic arteries was clearly challenging, however, and may result in a higher incidence of complications.…”

Section: Methodsmentioning

confidence: 71%

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Open or percutaneous revascularization for chronic splanchnic syndrome

Petersen

Kolkman

Beuk

et al. 2010

Journal of Vascular Surgery

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Section: Methodsmentioning

confidence: 71%

“…Most complications are access-site related. Because of the high percentages of complications after brachial approach, 19,21,32,39,45,46,48,49,59 the iliofemoral artery is the preferred access site.…”

Section: Methodsmentioning

confidence: 99%

Open or percutaneous revascularization for chronic splanchnic syndrome

Petersen

Kolkman

Beuk

et al. 2010

Journal of Vascular Surgery

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“…[31][32][33][34] Retrospective data from a US nationwide inpatient sample analysis extending from 1988 to 2006, including 22,413 individuals treated for CMI, suggested a lower mortality rate associated with PTA/S than with surgical bypass (3.7% vs 15.4%, p < 0.001; Table 3). 31 In addition, bowel resection was less frequently encountered in the endovascular group than in the surgical group treated for CMI (3% vs 7%, p < 0.01; Table 3).…”

Section: Treatmentmentioning

confidence: 99%

Chronic atherosclerotic mesenteric ischemia (CMI)

2010

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Chronic mesenteric ischemia (CMI) is most likely caused by atherosclerosis and less frequently by external compression and vasculitis. Symptomatic CMI is an uncommon, potentially under-diagnosed condition caused by fixed stenoses or occlusion of, in most conditions, at least two visceral arteries. If only one of the three major bowel-providing arteriesthe celiac trunk, and the superior and inferior mesenteric arteries -is affected, the patient is usually asymptomatic due to a tight collateral network. The only exception is the celiac artery compression syndrome which represents primarily a compression syndrome of celiac plexus nerves by the arcuate ligament in conjunction with a compression of the celiac trunk. CMI of atherosclerotic origin is associated with a high morbidity and mortality. During the last decade, endovascular revascularization has replaced surgical revascularization as the therapy of choice in most centers. This article reviews the most relevant clinical aspects of the disease and the current practice of diagnosis and treatment of CMI.

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“…Over the past decade, more attempts at using endovascular therapy to treat symptomatic patients with total mesenteric occlusions, especially patients who are poor surgical candidates, have been undertaken. In this series, 20 patients with total arterial occlusions underwent successful CeA coeliac artery, SMA superior mesenteric artery, IMA inferior mesenteric artery Most of the literature that compares open surgery and endovascular revascularisation for CMI agrees that patients selected for endovascular treatment tend to have more comorbidities and are considered to be higher risk patients [18][19][20][21][22]24]. However, the literature also suggests that patients undergoing endovascular therapy compared with open surgical repair have less periprocedural morbidity and shorter hospital stays, and are more likely to be discharged home [1,18,21].…”

Section: Discussionmentioning

confidence: 98%