Treatment of chronic visceral ischemia

Baur, Gerald M.; Millay, Donna J.; Taylor, Lloyd M.; Porter, John M.

doi:10.1016/0002-9610(84)90301-5

Cited by 61 publications

(16 citation statements)

References 13 publications

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“…In three patients (nos. 10,16,20), angiography, after PTA, demonstrated a residual stenosis greater than 30% in three arteries. The remission of symptomatology at 2 months occurred in 17 of 22 patients with technical success (77% short-term clinical success).…”

Section: Resultsmentioning

confidence: 92%

“…The technical success rate is 100%, and the immediate clinical success rate is 96% (range Å 82-100%). Nevertheless, the surgical mortality rate is 9% (range Å 0-17%), and the morbidity rate is 25% (range Å 13-33%) [2,[15][16][17][18][19][20][21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

“…The primary longterm clinical success is equal to that of surgery (50-100%, mean Å 84% for follow-up periods of 24-69 months) [2,[15][16][17][18][19][20][21][22][23][24][25]. Moreover, in two surgical series with 93% and 70% primary long-term clinical success, respectively, the results improved with a second intervention and secondary clinical success reached 97% and 100%, respectively [22,24].…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous transluminal angioplasty in the treatment of chronic mesenteric ischemia: results and 3 years of follow-up in 23 patients

et al. 1998

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Section: Resultsmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Percutaneous transluminal angioplasty in the treatment of chronic mesenteric ischemia: results and 3 years of follow-up in 23 patients

et al. 1998

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“…Despite the lack of convincing data to support the necessity of multiple bypass grafts, several authors have advocated complete revascularization [7,8]. In 1984, Baur et al [9] reported a series of 23 patients who underwent complete revascularization whenever possible. Perioperative mortality was 9%, and during a mean follow-up of 2 years, 9.5% of patients experienced graft failures.…”

Section: Discussionmentioning

confidence: 99%

Isolated Bypass to the Superior Mesenteric Artery for Chronic Mesenteric Ischemia

Jun

2013

Korean J Thorac Cardiovasc Surg

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Mesenteric ischemic symptoms appear only when two of the three major splanchnic arteries from the abdominal aorta are involved. Recently, we encountered a case of chronic mesenteric ischemia in a 50-year-old female patient caused by atherosclerotic obstruction of the celiac trunk and superior mesenteric artery. She was treated with a retrograde bypass graft from the right common iliac artery to the superior mesenteric artery (SMA) in a C-loop configuration. Complete revascularization is recommended for treatment of intestinal ischemia. When the celiac trunk is a not suitable recipient vessel, bypass grafting to the SMA alone appears to be both an effective and durable procedure for treating intestinal ischemia.

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“…Peptic ulcer disease, cholecystitis, diverticulitis, and carcinoma of the pancreas, stomach, or intestine can have similar presentations. Therefore, preliminary investigations are often appropriate; however, the time until the diagnosis is made and an angiogram is obtained can be very long in some cases, with a mean interval until diagnosis of over a year in one review (91,93,94) . Duplex scanning can be used as a screening tool, and to document noninvasively the presence of stenoses or occlusions of the visceral vessels (95 -100) .…”

Section: Mesenteric Venous Thrombosismentioning

confidence: 99%