Endovascular Treatment of Chronic Mesenteric Ischemia: Results in 14 Patients
| Autor: | Marie Biard, A. Alfidja, Anne Ravel, Louis Boyer, Jean Marc Garcier, Tamam Chahid |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain medicine.medical_treatment Constriction Pathologic Aneurysm Anti-Infective Agents Restenosis Celiac Artery Ischemia Mesenteric Artery Superior Celiac artery medicine.artery Angioplasty Mesenteric Vascular Occlusion medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Superior mesenteric artery Arteritis Aged Retrospective Studies Ultrasonography Heparin business.industry Anticoagulants Middle Aged medicine.disease Abdominal Pain Surgery Radiography Stenosis Treatment Outcome Chronic Disease Female Radiology medicine.symptom Salicylic Acid Cardiology and Cardiovascular Medicine business Angioplasty Balloon Follow-Up Studies |
| Zdroj: | CardioVascular and Interventional Radiology. 27:637-642 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | We evaluated immediate and long-term results of percutaneous transluminal angioplasty (PTA) and stent placement to treat stenotic and occluded arteries in patients with chronic mesenteric ischemia. Fourteen patients were treated by 3 exclusive celiac artery (CA) PTAs (2 stentings), 3 cases with both Superior Mesenteric Artery (SMA) and CA angioplasties, and 8 exclusive SMA angioplasties (3 stentings). Eleven patients had atheromatous stenoses with one case of an early onset atheroma in an HIV patient with antiphospholipid syndrome. The other etiologies of mesenteric arterial lesions were Takayashu arteritis (2 cases) and a postradiation stenoses (1 case). Technical success was achieved in all cases. Two major complications were observed: one hematoma and one false aneurysm occurring at the brachial puncture site (14.3%). An immediate clinical success was obtained in all patients. During a follow-up of 1-83 months (mean: 29 months), 11 patients were symptom free; 3 patients had recurrent pain; in one patient with inflammatory syndrome, pain relief was obtained with medical treatment; in 2 patients abdominal pain was due to restenosis 36 and 6 months after PTA, respectively. Restenosis was treated by PTA (postirradiation stenosis), and by surgical bypass (atheromatous stenosis). Percutaneous endovascular techniques are safe and accurate. They are an alternative to surgery in patients with chronic mesenteric ischemia due to short and proximal occlusive lesions of SMA and CA. |
| Databáze: | OpenAIRE |
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